DR. PATRICIA K ICHIMURA (O.D.) – Optometrist, NPI 1821064254
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
236 OPTOMETRY in HI
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Provider Addresses for DR. PATRICIA K ICHIMURA (O.D.)
95-550, Lanikuhana Avenue, Mililani, Honolulu County, Hawaii, 96789, United States
SUITE 200
MILILANI, HI 967892985
Phone: (808) 625-7451
Fax: (808) 625-5574
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 22 Open Payments records for all available years, with a total value of $3,419.
Total Amount is formed as General ($3,419) + Research ($0) + Ownership ($0) = $3,419.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Alcon Vision LLC ($2,511).
Total Amount
$3,419
General + Research + Ownership
Payments
22
Total payment records
General Amount
$3,419
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $2,511 |
| Bausch & Lomb Americas Inc. | $520 |
| Dompe US, Inc. | $118 |
| ABBVIE INC. | $100 |
| CooperVision Inc. | $68 |
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: 2010-01-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100111000460 | I | Optometry | HI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 95 | 55 | $0 |
| 92083 | Exam of visual field with extended testing | 67 | 45 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 45 | 29 | $0 |
| 92133 | Imaging of optic nerve | 42 | 38 | $0 |
| 92250 | Photography of the retina | 30 | 29 | $0 |
Insurance plans in this area (ZIP 96789)
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