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NPI Code Detail

MEDICARE: BOBBY H SHIMOKIHARA LICENSED OPTICIAN

MEDICARE: BOBBY H SHIMOKIHARA LICENSED OPTICIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOpticianDIO223HI

General Provider Information

NPI Number : 1457203044
Entity Type Code : Individual
Provider Name (Legal Business Name) : BOBBY H SHIMOKIHARA LICENSED OPTICIAN
Provider Business Mailing Address
First Line : 1131 KUALA ST
Second Line :
City : PEARL CITY
State : HI
Zip : 96782-2886
Country : US
Telephone Number : 808-454-8796
Fax Number : 808-454-8798
Provider Business Practice Location Address
First Line : 1131 KUALA ST
Second Line :
City : PEARL CITY
State : HI
Zip : 96782-2886
Country : US
Telephone Number : 808-454-8796
Fax Number : 808-454-8798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2026
Last Update Date : 02/13/2026

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Directions to “ BOBBY H SHIMOKIHARA LICENSED OPTICIAN” Practice Location

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