Individual provider Active NPI

Carlys Malia Rei Higuchi, O.D.

  • Optometrist
  • Makawao, HI
National Provider Identifier
1992727499
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
657 Issued in HI
Practice address
8 Kiopaa PL
Suite 102
Makawao, HI 96768-8283
Phone
(808) 214-9074
NPI assigned
Jul 24, 2006
Last updated
May 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 657 HI Primary

Addresses

Primary practice location

8 Kiopaa PL
Suite 102
Makawao, HI 96768-8283

Mailing address

24 Kiopaa PL
Ste 102
Makawao, HI 96768-8295
Phone (808) 214-9074

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
I20061127000106 HI Practitioner - Optometry 0547268757 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Lee and Leong OD LLCGroup PAC ID 8325058506, 5 clinicians
Maui Optix LLCGroup PAC ID 7517005010, 5 clinicians

Practice addresses (Care Compare)

101 Pakaula St
Kahului, HI 96732-3508
Phone (808) 873-9588

24 Kiopaa PL
Suite 102
Makawao, HI 96768-8295
Phone (808) 241-9074

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
83.66
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.13 of 100Reported as group
Quality
80.26
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
657HIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Optix LLC Optometrist CurrentSince Sep 16, 2009 Accepting new patients
DRS Lee & Leong OD LLC CurrentSince Apr 8, 2010 Accepting new patients
West Hawaii Community Health Center, Inc. Past Accepting new patients
Tyrie Lee Jenkins, M.D., Inc. PastSince Sep 16, 2009 Accepting new patients
Hana Health Past Accepting new patients

Locations

101 Pakaula St
Kahului, HI 96732
Phone (808) 871-7012

24 Kiopaa Pl
Ste 102
Makawao, HI 96768
Phone (808) 214-9074

8 Kiopaa Pl
Ste 102
Makawao, HI 96768
Phone (808) 214-9074

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9596/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1992727499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 KIOPAA PL",
            "address_2": "STE 102",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688295",
            "telephone_number": "808-214-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 KIOPAA PL",
            "address_2": "SUITE 102",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688283",
            "telephone_number": "808-214-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGUCHI",
        "first_name": "CARLYS",
        "middle_name": "MALIA REI",
        "name_prefix": "Miss",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

Verify at the official NPI Registry.