Individual provider Active NPI

Kirie Joy Takahashi, OD

  • Optometrist
  • Waipahu, HI
National Provider Identifier
1952963761
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-909 Issued in HI
Practice address
94-595 Kupuohi St
Waipahu, HI 96797-5382
Phone
(808) 688-0841
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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-909 HI Primary

Addresses

Primary practice location

94-595 Kupuohi St
Waipahu, HI 96797-5382

Mailing address

PO Box 29960
Honolulu, HI 96820-2360
Phone (808) 688-0841

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
I20190725003850 HI Practitioner - Optometry 9638405871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Kubo and Sato, Optometrists, Inc.Group PAC ID 8022909720, 5 clinicians
Stanley K. Sato, O.D., LLCGroup PAC ID 6204008329, 5 clinicians

Practice addresses (Care Compare)

333 Keahole St
BLDG a
Honolulu, HI 96825-3428
Phone (808) 395-6578

94 -595 Kupuohi St
Waipahu, HI 96797-5382
Phone (808) 688-0841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Kubo and Sato Optometrists Inc Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Stanley K. Sato, O.D., LLC Optometrist CurrentSince Jun 3, 2019 Accepting new patients

Locations

333 Keahole St
Bldg A
Honolulu, HI 96825
Phone (808) 394-3318

94-595 Kupuohi St
Waipahu, HI 96797
Phone (808) 688-0700

94-1231 Ka Uka Blvd
Waipahu, HI 96797
Phone (808) 678-1987

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1952963761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29960",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968202360",
            "telephone_number": "808-688-0841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-595 KUPUOHI ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975382",
            "telephone_number": "808-688-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAHASHI",
        "first_name": "KIRIE JOY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.