MARISA MAYUMI KIM O.D.
NPI 1629381512
Optometrist in Honolulu, HI

Q: What is Marisa Kim's NPI number?

The NPI number for Marisa Kim is 1629381512. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Q: What is Marisa Kim's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Marisa Kim was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since July 20, 2010PECOS EnrolledAccepts Medicare Assignment

1380 LUSITANA ST STE 604, HONOLULU, HI 96813(808) 523-2020 Get Directions Write a Review

NPPES record last updated: April 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Marisa Mayumi Kim O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISA MAYUMI KIM O.D. (NPI 1629381512) is an individual optometrist in Honolulu, Hawaii, licensed in Hawaii (724) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2010).

NPPES Registry Identity

NPI1629381512

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameMARISA MAYUMI KIMCredential: O.D.

Location Address1380 LUSITANA ST STE 604Honolulu, HI 96813-2442

Mailing Address1380 Lusitana St Ste 604Honolulu, HI 96813-2442 · (808) 523-2020

Phone(808) 523-2020

Sole ProprietorNo

Medical School CMSSouthern California College Of OptometryGraduated 2010

Enumeration DateJuly 20, 2010

Last NPPES UpdateApril 27, 2023

NPPES CertifiedApril 27, 2023

✔ NPI 1629381512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in HI · 724✔ Licensed in CA · 13998

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1380 LUSITANA ST STE 604, Honolulu, HI 96813

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Other Identifiers 1

Medicaid74327755NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marisa Mayumi Kim O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113041187

PECOS Enrollment IDI20220315000657

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

340 services206 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

306 services202 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

268 services159 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

167 services136 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

123 services101 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

86 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$136.68 typical visit price

range $60.53 – $180.05

Typical copayment $34.17 (range $15.13 – $45.01)

Most-billed visit code 99204

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY SHIGEYO SHIBUYA MD

Allergy & Immunology

1380 LUSITANA ST STE 604
HONOLULU, HI 96813

Honolulu County (808) 523-2020

DR. ABIGAIL SUTIMA HARADA M.D.

Allergy & Immunology

1380 LUSITANA ST STE 604
HONOLULU, HI 96813

Honolulu County (808) 523-2020

GREGORY W SCHMIDT MD LLC

Ophthalmology

1380 LUSITANA ST STE 604
HONOLULU, HI 96813

Honolulu County (808) 523-2020

DR. GREGORY WILLIAM SCHMIDT M.D.

Ophthalmology

1380 LUSITANA ST STE 604, QUEEN'S MEDICAL CENTER, POB I
HONOLULU, HI 96813

Honolulu County (808) 523-2020

Frequently 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 Marisa Kim's NPI number?

The NPI number for Marisa Kim is 1629381512. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Where is Marisa Kim located?

Marisa Kim practices at 1380 Lusitana St Ste 604, Honolulu, HI 96813. The listed phone number is (808) 523-2020.

What is Marisa Kim's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Marisa Kim enrolled in Medicare?

Yes. Marisa Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marisa Kim accept?

Health plans from HMSA list Marisa Kim 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 Marisa Kim was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.