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NPI Code Detail

MEDICARE: DR. BRIAN TOSHIO KUBO O.D.

MEDICARE: DR. BRIAN TOSHIO KUBO 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
1152W00000XOptometristOD 281HI

General Provider Information

NPI Number : 1780645689
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN TOSHIO KUBO O.D.
Provider Business Mailing Address
First Line : 95-1028 AKALULI ST
Second Line :
City : MILILANI
State : HI
Zip : 96789-4433
Country : US
Telephone Number : 808-395-6578
Fax Number :
Provider Business Practice Location Address
First Line : 333 KEAHOLE ST
Second Line :
City : HONOLULU
State : HI
Zip : 96825-3428
Country : US
Telephone Number : 808-395-6578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2006
Last Update Date : 07/08/2007

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