Active NPI
Douglas T. Shiro, O.D., Inc.
- Optometrist
- Hilo, HI
National Provider Identifier
1962521955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 152
- Legal business name
- DOUGLAS T. SHIRO, O.D., INC.
- Practice address
- 31 East Lanikaula Street
Suite D
Hilo, HI 96720-4362 - Phone
- (808) 961-0635
- Fax
- (808) 961-0636
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas T Shiro, OD
- Title
- President
- Phone
- (808) 961-0635
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 152 | HI | Primary |
Addresses
Primary practice location
31 East Lanikaula Street
Suite D
Hilo, HI 96720-4362
Mailing address
31 East Lanikaula Street
Suite D
Hilo, HI 96720-4362
Phone (808) 961-0635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
31 E Lanikaula St
Ste D
Hilo, HI 96720
Phone (808) 961-0635
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Hilo, HI
- NPI 1699791533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257897600000",
"number": "1962521955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 EAST LANIKAULA STREET",
"address_2": "SUITE D",
"city": "HILO",
"state": "HI",
"postal_code": "967204362",
"telephone_number": "808-961-0635",
"fax_number": "808-961-0636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 EAST LANIKAULA STREET",
"address_2": "SUITE D",
"city": "HILO",
"state": "HI",
"postal_code": "967204362",
"telephone_number": "808-961-0635",
"fax_number": "808-961-0636"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS T. SHIRO, O.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-28",
"last_updated": "2009-11-11",
"status": "A",
"authorized_official_last_name": "SHIRO",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-961-0635",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "HI",
"license": "152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.