MARISSA MATSUYAMA (O.D.) – Optometrist, NPI 1134591365

MARISSA MATSUYAMA (O.D.) is a healthcare provider. based in Aiea, Hawaii. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 820 (HI). The NPI Number for MARISSA MATSUYAMA (O.D.) is 1134591365

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA MATSUYAMA (O.D.)
NPI
1134591365
Phone
Not provided
Address
98-150 KAONOHI ST STE B211
Enumeration Date
27 October 2015
Last Update Date
6 February 2025

Doctor Profile

Medical School Name
SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Secondary Phone
8084863937
Graduation Year
2015 (11 years ago)
PAC ID
3072817501
Group Practice PAC ID
2365338597
Professional Enrollment ID
I20160203002634
Address ID
HI967015022AI98XXXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

236 OPTOMETRY in HI

Provider Addresses for MARISSA MATSUYAMA (O.D.)

  • 98-150 KAONOHI ST STE B211

    AIEA, HI 967015022

    Phone:

    Type: Mailing

  • 98-1778 HAPAKI ST

    AIEA, HI 967011630

    Phone:

    Type: Mailing

  • 99-128 AIEA HEIGHTS DR STE 703

    AIEA, HI 96701

    Phone: (808) 487-7938

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $2,441.

Total Amount is formed as General ($2,441) + Research ($0) + Ownership ($0) = $2,441.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: ABBVIE INC. ($413).

Total Amount

$2,441

General + Research + Ownership

Payments

64

Total payment records

General Amount

$2,441

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160203002634IOptometryHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365338597View full group profile
NameSpecialtyState
O P T O M E T R YHI

Reviews

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Frequently asked questions

What is MARISSA MATSUYAMA (O.D.)'s NPI number?
MARISSA MATSUYAMA (O.D.)'s NPI is 1134591365 — the number used across U.S. healthcare to identify this provider.
Would MARISSA MATSUYAMA (O.D.) appear as active to a payer?
You can treat MARISSA MATSUYAMA (O.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MARISSA MATSUYAMA (O.D.)?
MARISSA MATSUYAMA (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is MARISSA MATSUYAMA (O.D.) located near Aiea?
MARISSA MATSUYAMA (O.D.) currently maps to Aiea, Hawaii in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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