Provider Demographics
NPI:1437220613
Name:ARTHUR T. KOBAYASHI, O.D., INC.
Entity Type:Organization
Organization Name:ARTHUR T. KOBAYASHI, O.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:TAKEO
Authorized Official - Last Name:KOBAYASHI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-622-4121
Mailing Address - Street 1:960 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-2038
Mailing Address - Country:US
Mailing Address - Phone:808-622-4121
Mailing Address - Fax:808-621-5041
Practice Address - Street 1:960 CENTER ST
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2038
Practice Address - Country:US
Practice Address - Phone:808-622-4121
Practice Address - Fax:808-621-5041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHAWAII OD-0098152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI04387801Medicaid
HIA04387800Medicaid
HIB4901-5Medicaid
HI=========OtherPACIFICARE
HI=========OtherMASTERS, MATES, & PILOTS
HIA04387800Medicaid
HIB4901-5Medicaid
HI=========OtherGEICO
HI04387801Medicaid
HI=========OtherMASTERS, MATES, & PILOTS
HI04387801Medicaid
HIB4901-5Medicaid