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General NPI Number Information
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NPI Number | 1508980095
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Entity Type | Organization
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Legal Business Name | YVETTE NS HIDA O D INC
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 610 KILANI AVE
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City | WAHIAWA
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State | HI
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Zip | 96786-1904
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Country | US
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Telephone | 808-622-2020
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Fax | 808-622-9009
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Provider Business Mailing Address
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Address Line | 610 KILANI AVE
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City | WAHIAWA
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State | HI
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Zip | 96786-1904
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Country | US
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Telephone | 808-622-2020
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Fax | 808-622-9009
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Authorized Official
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Title or Position | PRESIDENT & DIRECTOR
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Name | DR. YVETTE N.S. HIDA
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Credential | O.D.
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Telephone | 808-622-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 336
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License Number State | HI
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