Provider Demographics
NPI:1386633626
Name:NAKAMURA, HANNA YEMIMI (OD)
Entity Type:Individual
Prefix:DR
First Name:HANNA
Middle Name:YEMIMI
Last Name:NAKAMURA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 JARRETT WHITE RD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96859-5001
Mailing Address - Country:US
Mailing Address - Phone:808-433-8464
Mailing Address - Fax:808-433-8471
Practice Address - Street 1:1 JARRETT WHITE ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96859
Practice Address - Country:US
Practice Address - Phone:808-433-8464
Practice Address - Fax:808-433-8471
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1309152W00000X
HI667152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist