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DR. COLLEEN MARIKO ICHIYAMA-KONG O.D.
NPI 1881631422
Optometrist in Wailuku, HI

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
2049 WELLS ST, SUITE #1, WAILUKU, HI 96793(808) 244-8034(808) 244-8035 Get Directions Write a Review

NPPES record last updated: November 14, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Colleen Mariko Ichiyama-kong O.d. NPPES

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

DR. COLLEEN MARIKO ICHIYAMA-KONG O.D. (NPI 1881631422) is an individual optometrist in Wailuku, Hawaii, licensed in Hawaii (OD478) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (1997).

NPPES Registry Identity

NPI1881631422
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. COLLEEN MARIKO ICHIYAMA-KONGCredential: O.D.
Location Address2049 WELLS ST, SUITE #1Wailuku, HI 96793-2239
Mailing Address2049 Wells St, Suite #1Wailuku, HI 96793-2239 · (808) 244-8034 · Fax (808) 244-8035
Phone(808) 244-8034
Fax(808) 244-8035
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 1997
Enumeration DateJune 1, 2006
Last NPPES UpdateNovember 14, 2007
✔ NPI 1881631422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in HI · OD478
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.
2049 WELLS ST, Wailuku, HI 96793
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Other Identifiers 3

Medicare PINH54697HI
Medicaid50181802HI
Medicare UPINU90889HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.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

Dr. Colleen Mariko Ichiyama-kong 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 ID8022909357
PECOS Enrollment IDI20050824000875
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96793 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

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

PREMIER VISION LLC
Optometrist
2049 WELLS ST, SUITE #1
WAILUKU, HI 96793
Maui County (808) 244-8034

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 Colleen Ichiyama-kong's NPI number?

The NPI number for Colleen Ichiyama-kong is 1881631422. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Colleen Ichiyama-kong located?

Colleen Ichiyama-kong practices at 2049 Wells St Suite #1, Wailuku, HI 96793. The listed phone number is (808) 244-8034.

What is Colleen Ichiyama-kong's specialty?

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

Is Colleen Ichiyama-kong enrolled in Medicare?

Yes. Colleen Ichiyama-kong 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 Colleen Ichiyama-kong accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HMSA and Providence Health Plan list Colleen Ichiyama-kong 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 Colleen Ichiyama-kong was last updated on November 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.