Individual provider Active NPI

Richard Hiroshi Miyasaka, O.D.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1972881365
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
743 Issued in HI
Practice address
3615 Harding Ave
Suite 208
Honolulu, HI 96816-3735
Phone
(808) 734-8870
Fax
(808) 737-2307
NPI assigned
Aug 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 743 HI Primary

Addresses

Primary practice location

3615 Harding Ave
Suite 208
Honolulu, HI 96816-3735

Mailing address

3615 Harding Ave
Suite 208
Honolulu, HI 96816-3735
Phone (808) 734-8870

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
I20110909002885 HI Practitioner - Optometry 2264603851 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3615 Harding Ave
Suite 208
Honolulu, HI 96816-3760
Phone (808) 734-8870

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
743HIMDClinical Psychologist
14182CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anne K. Matsushima, O.D., Inc. Current Accepting new patients
Richard H. Miyasaka OD LLC Optometrist CurrentSince Mar 1, 2020 Accepting new patients

Locations

3615 Harding Ave
Ste 208
Honolulu, HI 96816
Phone (808) 734-8870

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": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1972881365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 HARDING AVE",
            "address_2": "SUITE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163735",
            "telephone_number": "808-734-8870",
            "fax_number": "808-737-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 HARDING AVE",
            "address_2": "SUITE 208",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163735",
            "telephone_number": "808-734-8870",
            "fax_number": "808-737-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIYASAKA",
        "first_name": "RICHARD",
        "middle_name": "HIROSHI",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.