DR. JAMIE SHIZUKO TESHIMA (OD) – Optometrist, NPI 1265004493

DR. JAMIE SHIZUKO TESHIMA (OD) is a healthcare provider. based in Kahului, Hawaii. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OD-954 (HI). The NPI Number for DR. JAMIE SHIZUKO TESHIMA (OD) is 1265004493

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
DR. JAMIE SHIZUKO TESHIMA (OD)
NPI
1265004493
Phone
(808) 873-9588
Address
101 Pakaula St
Enumeration Date
16 July 2021
Last Update Date
16 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8082419074
Graduation Year
2021 (5 years ago)
PAC ID
1759785124
Group Practice PAC ID
7517005010
Professional Enrollment ID
I20210806001075
Address ID
HI967688295MA24XXXPLXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

236 OPTOMETRY in HI

Provider Addresses for DR. JAMIE SHIZUKO TESHIMA (OD)

  • 101 Pakaula St

    Kahului, HI 967323508

    Phone: (808) 873-9588

    Type: Location

  • 255 EKOA PL

    WAILUKU, HI 967931501

    Phone: (808) 269-2457

    Type: Mailing

  • 24 KIOPAA PL STE 102

    MAKAWAO, HI 967688295

    Phone: (808) 214-9074

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $1,369.

Total Amount is formed as General ($1,369) + Research ($0) + Ownership ($0) = $1,369.

Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($581).

Total Amount

$1,369

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,369

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-02

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: 2021-08-06

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
I20210806001075IOptometryHITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system199199$0
92012Established patient problem focused exam of visual system165115$0
92250Photography of the retina120120$0
92083Exam of visual field with extended testing4543$0
92133Imaging of optic nerve4038$0
View full utilization report →

Insurance plans in this area (ZIP 96732)

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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: 7517005010View full group profile
NameSpecialtyState
O P T O M E T R YHI
O P T O M E T R YWA
O P T O M E T R YHI

Reviews

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Frequently asked questions

Can I use this page to confirm DR. JAMIE SHIZUKO TESHIMA (OD)'s NPI?
Yes. DR. JAMIE SHIZUKO TESHIMA (OD) is listed with NPI 1265004493 in the public NPI dataset.
Is DR. JAMIE SHIZUKO TESHIMA (OD) listed as active for patients and plans?
The listing shows DR. JAMIE SHIZUKO TESHIMA (OD) as active in the NPI system.
What healthcare role does DR. JAMIE SHIZUKO TESHIMA (OD) hold?
Scheduling teams often label DR. JAMIE SHIZUKO TESHIMA (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. JAMIE SHIZUKO TESHIMA (OD) list a practice location?
Patients near Kahului, Hawaii may find DR. JAMIE SHIZUKO TESHIMA (OD) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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