MEDICARE: OPTICAL SUPPLIERS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier	D10-38	HI

General Provider Information

NPI Number	:	1386854479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTICAL SUPPLIERS, INC.

Provider Business Mailing Address
First Line	:	99-1253 HALAWA VALLEY ST
Second Line	:
City	:	AIEA
State	:	HI
Zip	:	96701-3281
Country	:	US
Telephone Number	:	808-486-2933
Fax Number	:	808-486-6458

Provider Business Practice Location Address
First Line	:	99-1253 HALAWA VALLEY ST
Second Line	:
City	:	AIEA
State	:	HI
Zip	:	96701-3281
Country	:	US
Telephone Number	:	808-486-2933
Fax Number	:	808-486-6458

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GLENN T. SHIGEMURA
Credential	:
Telephone Number	:	808-486-2933

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1619033768 — EYEWEAR HAWAII, INC.
Practice Location Address:

99-1253 HALAWA VALLEY ST
AIEA, HI
96701-3281

Practice Phone: 808-486-2933
Practice Fax:

1295682540 — JULIE ANNE FELIX BACARRO
Practice Location Address:

99-080 KAUHALE ST STE C20
AIEA, HI
96701-4114

Practice Phone: 808-342-1683
Practice Fax:

1154727170 — JOANNE HUMPHREYS LMFT
Practice Location Address:

99-115 AIEA HEIGHTS DR
AIEA, HI
96701-3924

Practice Phone: 808-533-2394
Practice Fax:

1962359042 — JOHNNESE POOMAIHEALANI
Practice Location Address:

98-211 PALI MOMI ST STE 520
AIEA, HI
96701-4328

Practice Phone: 855-223-7123
Practice Fax:

1558219584 — KAHEAONALANI DOWNING
Practice Location Address:

98-211 PALI MOMI ST STE 520
AIEA, HI
96701-4328

Practice Phone: 808-207-4377
Practice Fax:

1508714262 — BRIAN MATSUDO
Practice Location Address:

98-211 PALI MOMI ST STE 520
AIEA, HI
96701-4328

Practice Phone: 855-223-7123
Practice Fax:

Directions to “OPTICAL SUPPLIERS, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.