Individual provider Active NPI

Eri Sugino, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1962506907
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD 255 Issued in HI
Practice address
1712 Liliha St
Suite 400
Honolulu, HI 96817-5410
Phone
(808) 524-1010
Fax
(808) 531-1030
NPI assigned
Sep 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 255 HI Primary

Addresses

Primary practice location

1712 Liliha St
Suite 400
Honolulu, HI 96817-5410

Mailing address

1712 Liliha St
Suite 400
Honolulu, HI 96817-5410
Phone (808) 524-1010

Other identifiers 2

IdentifierTypeStateIssuer
07978201MedicaidHI
20914-8OtherHIHMSA PROVIDER NUMBER

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
I20111026000230 HI Practitioner - Optometry 5698948362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Worldster Lee MD LLCGroup PAC ID 9638468762, 4 clinicians

Practice addresses (Care Compare)

1712 Liliha St
Suite 400
Honolulu, HI 96817-3114
Phone (808) 524-1010

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as group
Quality
94.01
Improvement activities
40
Cost
77.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD 255HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cataract & Vision Center of Hawaii LLC CurrentSince Oct 1, 2011 Accepting new patients
Cataract & Vision Center of Hawaii LLC CurrentSince Oct 1, 2011 Accepting new patients
Worldster Lee, M.D. LLC CurrentSince Jun 1, 2016 Accepting new patients

Locations

1712 Liliha St
Ste 102
Honolulu, HI 96817
Phone (808) 524-1010

1712 Liliha St
Ste 103
Honolulu, HI 96817
Phone (808) 377-3736

1712 Liliha St
Ste 400
Honolulu, HI 96817
Phone (808) 457-4112

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962506907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST",
            "address_2": "SUITE 400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175410",
            "telephone_number": "808-524-1010",
            "fax_number": "808-531-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST",
            "address_2": "SUITE 400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175410",
            "telephone_number": "808-524-1010",
            "fax_number": "808-531-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGINO",
        "first_name": "ERI",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD 255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07978201",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER NUMBER",
            "identifier": "20914-8",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.