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NPI Code Detail

MEDICARE: LESLIE YAMANOUCHI

MEDICARE: LESLIE YAMANOUCHI
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
1156FX1800XOpticianDIO405HI

General Provider Information

NPI Number : 1942152780
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE YAMANOUCHI
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 :
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 :
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 “ LESLIE YAMANOUCHI ” Practice Location

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