Healthcare Provider Details

I. General information

NPI: 1992470421
Provider Name (Legal Business Name): DR. MIYASAKA OPTOMETRY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2021
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 S KING ST STE 610
HONOLULU HI
96814-1941
US

IV. Provider business mailing address

3615 HARDING AVE STE 208
HONOLULU HI
96816-3760
US

V. Phone/Fax

Practice location:
  • Phone: 808-591-2991
  • Fax: 808-737-2307
Mailing address:
  • Phone: 808-734-8870
  • Fax: 808-737-2307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES K MIYASAKA
Title or Position: OPTOMETRIST/BUSINESS OWNER
Credential: OD
Phone: 808-782-8546