ANDREW Y MAEDA OD A PROFESSIONAL CORPORATION
NPI 1720206667
Optometrist in Hilo, HI
About Andrew Y Maeda Od A Professional Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW Y MAEDA OD A PROFESSIONAL CORPORATION (NPI 1720206667) is a healthcare organization registered as an optometrist in Hilo, Hawaii and active in the NPI registry since April 2007. The organization lists Jennifer M Maeda, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Andrew Y Maeda Od A Professional Corporation 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 Andrew Y Maeda Od A Professional Corporation, 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.
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 Andrew Y Maeda Od A Professional Corporation's NPI number?
The NPI number for Andrew Y Maeda Od A Professional Corporation is 1720206667. It was assigned to this organization in the NPPES registry on April 24, 2007.
Where is Andrew Y Maeda Od A Professional Corporation located?
Andrew Y Maeda Od A Professional Corporation is located at 1234 Kilauea Ave, Hilo, HI 96720. The listed phone number is (808) 935-5228.
What is Andrew Y Maeda Od A Professional Corporation's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Andrew Y Maeda Od A Professional Corporation enrolled in Medicare?
Yes. Andrew Y Maeda Od A Professional Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Andrew Y Maeda Od A Professional Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Andrew Y Maeda Od A Professional Corporation. 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.
When was this NPI record last updated?
The NPPES record for Andrew Y Maeda Od A Professional Corporation was last updated on June 30, 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.
# Andrew Y Maeda Od A Professional Corporation · NPI 1720206667
Optometrist organization in Hilo, Hawaii. Organization record, active in the CMS NPPES registry since April 24, 2007.
## Identity
- **NPI:** 1720206667 (Entity type: Organization)
- **Enumerated:** April 24, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Maeda, OPTOMETRIST
## Practice location
- **Address:** 1234 KILAUEA AVE, Hilo, HI 96720-4206
- **Phone:** (808) 935-5228 · **Fax:** (808) 969-9117
## 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:** June 30, 2023
- **Other identifiers:** Other H100355 (HI)
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Source: [NPI Profile](https://npiprofile.com/npi/1720206667) · Data from the CMS NPPES public registry.