Healthcare Provider Details

I. General information

NPI: 1437220613
Provider Name (Legal Business Name): ARTHUR T. KOBAYASHI, O.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 CENTER ST
WAHIAWA HI
96786-2038
US

IV. Provider business mailing address

960 CENTER ST
WAHIAWA HI
96786-2038
US

V. Phone/Fax

Practice location:
  • Phone: 808-622-4121
  • Fax: 808-621-5041
Mailing address:
  • Phone: 808-622-4121
  • Fax: 808-621-5041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberHAWAII OD-0098
License Number StateHI

VIII. Authorized Official

Name: DR. ARTHUR TAKEO KOBAYASHI
Title or Position: OWNER - PRESIDENT
Credential: O.D.
Phone: 808-622-4121