Provider Demographics
NPI:1467146944
Name:YAMAMOTO, ERIN CORINNE (OD)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:CORINNE
Last Name:YAMAMOTO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:CORINNE
Other - Last Name:GEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 607
Mailing Address - Street 2:
Mailing Address - City:PAPAIKOU
Mailing Address - State:HI
Mailing Address - Zip Code:96781-0607
Mailing Address - Country:US
Mailing Address - Phone:214-415-9204
Mailing Address - Fax:
Practice Address - Street 1:392 KAPIOLANI ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-7309
Practice Address - Country:US
Practice Address - Phone:214-415-9204
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI0000000152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist