Gerald N. Matsuyama, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

189 Issued in HI

Practice address

1109 12TH Ave
#103
Honolulu, HI 96816-3714

Phone

(808) 734-1988

NPI assigned

Nov 2, 2006

Last updated

Oct 9, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Gerald N. Matsuyama, O.D., LLC

  • Optometrist
  • Honolulu, HI
  • NPI 1154443166
  NPD Authorized official
• J C Eye, LLC

  • Optometrist
  • Honolulu, HI
  • NPI 1417601956
  NPD (past)
• Matsuyamas O D Inc

  dba Styleyes

  • Optometrist
  • Aiea, HI
  • NPI 1013036128
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223510400000",
    "number": "1942389879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 12TH AVE",
            "address_2": "#103",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163714",
            "telephone_number": "808-734-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 12TH AVE",
            "address_2": "#103",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163714",
            "telephone_number": "808-734-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUYAMA",
        "first_name": "GERALD",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01409001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Matsuura, DPT
• Kelly Matsuura, PT
• Marjorie Matsuura, O.D.
• Pamela K. Matsuura, MD
• Eugene S. Matsuyama, M.D.
• Judy Sayeko Matsuyama, RPH
• Maurice Masato Matsuzaki Jr., D.D.S.
• Matt Nims M.D. L.L.C.
• Matt Slavin MD
• Zachary Thomas Mattero

• Optometrist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.