DR. GERALD M MATSUDA – Optometrist, NPI 1164596979

DR. GERALD M MATSUDA is a healthcare provider. based in Kailua, Hawaii. specializing in OPTOMETRY. They hold a License No. 184 (HI). The NPI Number for DR. GERALD M MATSUDA is 1164596979

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DR. GERALD M MATSUDA
NPI
1164596979
Phone
(808) 262-8107
Address
30 AULIKE ST
Enumeration Date
20 November 2006
Last Update Date
15 May 2012

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
8082356641
Graduation Year
1983 (43 years ago)
PAC ID
5294758736
Group Practice PAC ID
1052329935
Professional Enrollment ID
I20060110001015
Address ID
HI967446707KA46056HWYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

236 OPTOMETRY in HI

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Provider Addresses for DR. GERALD M MATSUDA

  • 30, Aulike Street, Kailua, Honolulu County, Hawaii, 96734, United States

    SUITE 102

    KAILUA, HI 967342707

    Phone: (808) 262-8107

    Fax: (808) 262-8108

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-01-10

PECOS data refreshed: 2026-06-15

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
I20060110001015IOptometryHITBD

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 96734)

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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: 1052329935View full group profile
NameSpecialtyState
O P T O M E T R YHI
O P T O M E T R YHI
O P T O M E T R YHI
O P T O M E T R YHI

Reviews

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Frequently asked questions

Can I cross-check DR. GERALD M MATSUDA using NPI 1164596979?
NPI 1164596979 belongs to DR. GERALD M MATSUDA; compare other details if you need extra assurance.
Is DR. GERALD M MATSUDA shown as active in public data?
Registry records indicate DR. GERALD M MATSUDA maintains an active NPI.
What expertise is attributed to DR. GERALD M MATSUDA?
DR. GERALD M MATSUDA's specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Where in Hawaii is DR. GERALD M MATSUDA registered?
Use Kailua, Hawaii as the headline location for DR. GERALD M MATSUDA here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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