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General NPI Number Information
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NPI Number | 1831820984
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Entity Type | Organization
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Legal Business Name | BRIAN M TERUYA OD INC
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Dates
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Enumeration Date | 06/20/2022
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 3221 WAIALAE AVE STE 340
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City | HONOLULU
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State | HI
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Zip | 96816-5831
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Country | US
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Telephone | 808-734-4343
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Fax | 808-734-3930
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Provider Business Mailing Address
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Address Line | PO BOX 29960
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City | HONOLULU
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State | HI
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Zip | 96820-2360
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Country | US
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Telephone | 808-734-4343
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Fax | 808-734-3930
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Authorized Official
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Title or Position | OWNER / MEMBER
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Name | DR. BRIAN TERUYA
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Credential | OD
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Telephone | 808-734-4343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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