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NPI Code Detail

MEDICARE: DR. JAMES KIYOSHI MIYASAKA O.D.

MEDICARE:  DR. JAMES KIYOSHI MIYASAKA  O.D.
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
1152W00000XOptometrist14802CA
2152W00000XOptometrist785HI

General Provider Information

NPI Number : 1639509987
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES KIYOSHI MIYASAKA O.D.
Provider Business Mailing Address
First Line : 3615 HARDING AVE
Second Line : STE 208
City : HONOLULU
State : HI
Zip : 96816-3760
Country : US
Telephone Number : 808-734-8870
Fax Number : 808-737-2307
Provider Business Practice Location Address
First Line : 3615 HARDING AVE
Second Line : STE 208
City : HONOLULU
State : HI
Zip : 96816-3760
Country : US
Telephone Number : 808-734-8870
Fax Number : 808-737-2307
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2013
Last Update Date : 08/20/2025

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Directions to “ DR. JAMES KIYOSHI MIYASAKA O.D.” Practice Location

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