DR. WENDI NOBUKO HARADA SHIBAYAMA (O.D.) – Optometrist, NPI 1316119423

DR. WENDI NOBUKO HARADA SHIBAYAMA (O.D.) is a healthcare provider. based in Kapolei, Hawaii. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. HI600 (HI). The NPI Number for DR. WENDI NOBUKO HARADA SHIBAYAMA (O.D.) is 1316119423

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. WENDI NOBUKO HARADA SHIBAYAMA (O.D.)
NPI
1316119423
Phone
(808) 674-4488
Address
91-600 FARRINGTON HWY UNIT 3
Enumeration Date
28 March 2008
Last Update Date
25 September 2017

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
8086744488
Graduation Year
2003 (23 years ago)
PAC ID
0143361881
Group Practice PAC ID
3476694100
Professional Enrollment ID
I20100104000394
Address ID
HI967074509KA91600HWYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

236 OPTOMETRY in HI

Provider Addresses for DR. WENDI NOBUKO HARADA SHIBAYAMA (O.D.)

  • 91-600 FARRINGTON HWY UNIT 3

    KAPOLEI, HI 967074509

    Phone: (808) 674-4488

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $271.

Total Amount is formed as General ($271) + Research ($0) + Ownership ($0) = $271.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($271).

Total Amount

$271

General + Research + Ownership

Payments

2

Total payment records

General Amount

$271

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-01-04

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
I20100104000394IOptometryHITBD

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
92250Photography of the retina9084$0
99213Established patient office or other outpatient visit, 20-29 minutes6049$0
92083Exam of visual field with extended testing2522$0
92133Imaging of optic nerve2522$0
99214Established patient office or other outpatient visit, 30-39 minutes2220$0
View full utilization report →

Insurance plans in this area (ZIP 96707)

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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: 3476694100View full group profile
NameSpecialtyState
O P T O M E T R YHI
-HI

Reviews

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Frequently asked questions

What is the registry number for DR. WENDI NOBUKO HARADA SHIBAYAMA (O.D.)?
The registry entry for DR. WENDI NOBUKO HARADA SHIBAYAMA (O.D.) shows NPI 1316119423.
Should I treat DR. WENDI NOBUKO HARADA SHIBAYAMA (O.D.) as an active provider?
Patients and plans typically see DR. WENDI NOBUKO HARADA SHIBAYAMA (O.D.) as active in the national extract.
What type of care does DR. WENDI NOBUKO HARADA SHIBAYAMA (O.D.) provide?
DR. WENDI NOBUKO HARADA SHIBAYAMA (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. WENDI NOBUKO HARADA SHIBAYAMA (O.D.)?
The directory associates DR. WENDI NOBUKO HARADA SHIBAYAMA (O.D.) with Kapolei, Hawaii. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. WENDI NOBUKO HARADA SHIBAYAMA (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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