Shelley Tasaka, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

844 Issued in HI

Practice address

46-056 Kamehameha Hwy
#251
Kaneohe, HI 96744-3755

Phone

(808) 235-6641

Fax

(808) 247-3880

NPI assigned

Aug 4, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Southern California College of Optometry, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Windward Vision Center Associates, Inc.Group PAC ID 1052329935, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Windward Vision Center Associates, Inc.

  dba Windward Vision Center

  • Optometrist
  • Kaneohe, HI
  • NPI 1720101611
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1972057123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-056 KAMEHAMEHA HWY",
            "address_2": "#251",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-056 KAMEHAMEHA HWY",
            "address_2": "#251",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443755",
            "telephone_number": "808-235-6641",
            "fax_number": "808-247-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASAKA",
        "first_name": "SHELLEY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Teruo Tanaka, M.D.
• Alan Minoru Taniguchi, M.D.
• Tara Lynn Tannenholz, RPT
• Halona Wes Tanner, PSY.D.
• Laie Tapusoa
• Jon J Tasaki, DDS
• Taying Yang M.D.
• Tb2U
• Jeanne Teleia, M.S., LMFT
• Temple Valley Dental Care Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.