Andrew Yoshimitsu Maeda, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

104 Issued in HI

Practice address

1234 Kilauea Ave
Hilo, HI 96720-4206

Phone

(808) 935-5228

Fax

(808) 969-9117

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Andrew Y Maeda OD a Professional Corporation

  • Optometrist
  • Hilo, HI
  • NPI 1720206667

  HI, Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1992851349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 KILAUEA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204206",
            "telephone_number": "808-935-5228",
            "fax_number": "808-969-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 KILAUEA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204206",
            "telephone_number": "808-935-5228",
            "fax_number": "808-969-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEDA",
        "first_name": "ANDREW",
        "middle_name": "YOSHIMITSU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051347-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "58727",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly S. Machida
• Crystal Macias
• Kaimana Macomber
• Macrophil, Inc.
• Made to Move LLC
• Jennifer Maeda, O.D.
• Julie Maeda
• Danielle Magnuson
• Jonathan William Mah, D.D.S.
• Kimberly Mah, DDS

• All providers in Hilo, HI
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.