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General NPI Number Information
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NPI Number | 1992470421
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Entity Type | Organization
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Legal Business Name | DR. MIYASAKA OPTOMETRY, LLC
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 68-1820 WAIKOLOA RD STE 305
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City | WAIKOLOA
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State | HI
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Zip | 96738-5597
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Country | US
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Telephone | 808-315-7020
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Fax |
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Provider Business Mailing Address
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Address Line | 3615 HARDING AVE STE 208
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City | HONOLULU
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State | HI
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Zip | 96816-3760
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Country | US
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Telephone | 808-782-8546
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Fax | 808-737-2307
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Authorized Official
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Title or Position | OPTOMETRIST/BUSINESS OWNER
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Name | DR. JAMES K MIYASAKA
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Credential | OD
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Telephone | 808-782-8546
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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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