Individual provider Active NPI

Kevin Ken Tsuda, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1942373139
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-334 Issued in HI
Practice address
1290 S King St
Honolulu, HI 96814-1920
Phone
(808) 596-8210
Fax
(808) 593-7923
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD-334 HI Primary

Addresses

Primary practice location

1290 S King St
Honolulu, HI 96814-1920

Mailing address

1290 S King St
Honolulu, HI 96814-1920
Phone (808) 596-8210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051028000167 HI Practitioner - Optometry 1850318981 Reassigns benefits to 1 organization
Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1290 S King St
Honolulu, HI 96814-1920
Phone (808) 596-8210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Nov 20, 2010 Accepting new patients
Straub Clinic & Hospital CurrentSince Nov 20, 2010 Accepting new patients

Locations

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444089600000",
    "number": "1942373139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141920",
            "telephone_number": "808-596-8210",
            "fax_number": "808-593-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141920",
            "telephone_number": "808-596-8210",
            "fax_number": "808-593-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSUDA",
        "first_name": "KEVIN",
        "middle_name": "KEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2015-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.