WALLY KOJIMA OD LLC
NPI 1255720223
Optometrist in Kailua Kona, HI
About Wally Kojima Od Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WALLY KOJIMA OD LLC (NPI 1255720223) is a healthcare organization registered as an optometrist in Kailua Kona, Hawaii and active in the NPI registry since January 2015. The organization holds a CLIA Waiver certificate valid through July 20, 2027 and lists Wallace Kojima, Managing Member / Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wally Kojima Od Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Wally Kojima Od LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 12D2230309
Wally Kojima, Od And Associates, LLC · Kailua Kona, HIFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wally Kojima Od LLC's NPI number?
The NPI number for Wally Kojima Od LLC is 1255720223. It was assigned to this organization in the NPPES registry on January 14, 2015.
Where is Wally Kojima Od LLC located?
Wally Kojima Od LLC is located at 73 5600 Maiau St, Kailua Kona, HI 96740. The listed phone number is (808) 331-8081.
What is Wally Kojima Od LLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Wally Kojima Od LLC enrolled in Medicare?
Yes. Wally Kojima Od LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wally Kojima Od LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Wally Kojima Od LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wally Kojima Od LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 12D2230309) is associated with this NPI, valid through July 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Wally Kojima Od LLC accept?
Health plans from BlueCross BlueShield of Tennessee and HMSA list Wally Kojima Od LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Wally Kojima Od LLC was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wally Kojima Od Llc · NPI 1255720223
Optometrist organization in Kailua Kona, Hawaii. Organization record, active in the CMS NPPES registry since January 14, 2015.
## Identity
- **NPI:** 1255720223 (Entity type: Organization)
- **Enumerated:** January 14, 2015
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Wallace Kojima, MANAGING MEMBER / OWNER
## Practice location
- **Address:** 73 5600 MAIAU ST, Kailua Kona, HI 96740-2630
- **Phone:** (808) 331-8081 · **Fax:** (808) 331-8081
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255720223) · Data from the CMS NPPES public registry.