Individual provider Active NPI

Wayne N. Miwa, OD

  • Optometrist
  • Aiea, HI
National Provider Identifier
1962503813
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD272 Issued in HI
Practice address
98030 Hekaha St
#11
Aiea, HI 96701-4900
Phone
(808) 486-8484
NPI assigned
Sep 25, 2006
Last updated
Jun 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD272 HI Primary

Addresses

Primary practice location

98030 Hekaha St
#11
Aiea, HI 96701-4900

Mailing address

98030 Hekaha St
#11
Aiea, HI 96701-4900
Phone (808) 486-8484

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
I20061108000698 HI Practitioner - Optometry 0244237097 Practice locations: Aiea, HI

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

98 -030 Hekaha St
Suite 11
Aiea, HI 96701-4900
Phone (808) 486-8484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD272HIMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1962503813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98030 HEKAHA ST",
            "address_2": "#11",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014900",
            "telephone_number": "808-486-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98030 HEKAHA ST",
            "address_2": "#11",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014900",
            "telephone_number": "808-486-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIWA",
        "first_name": "WAYNE",
        "middle_name": "N.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.