Provider Demographics
NPI:1366015562
Name:NAKAGAWA-KAKUDA, CAMIE CHIHARU (OD)
Entity Type:Individual
Prefix:DR
First Name:CAMIE
Middle Name:CHIHARU
Last Name:NAKAGAWA-KAKUDA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CAMIE
Other - Middle Name:CHIHARU
Other - Last Name:NAKAGAWA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:94-849 LUMIAINA ST
Mailing Address - Street 2:UNIT 103
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-5677
Mailing Address - Country:US
Mailing Address - Phone:808-671-1656
Mailing Address - Fax:808-671-2020
Practice Address - Street 1:94-849 LUMIAINA ST UNIT 103
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-5677
Practice Address - Country:US
Practice Address - Phone:808-671-1656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD-956152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist