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Rolandy Dumornay, O.D.

NPI 1396192878ActiveIndividual· Optometrist· Pearl Harbor, HI

Optometrist (O.D.) in Pearl Harbor, Hawaii, licensed in CO and NY, with an NPI issued in May 2016. Medicare paid $2,111 for services to 45 patients in 2024.

Overview

NPI1396192878
StatusActive
Entity typeIndividual
CredentialO.D.
Sole proprietorNo
NPI issuedMay 16, 2016
Last updated in NPPESJul 11, 2024
Certified by providerJul 3, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X0003998CO
Optometrist152W00000XTUV008433-1NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients45
Services billed45 across 2 procedure codes
Paid by Medicare$2,111

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Optometrist providers in Pearl Harbor

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