Provider Demographics
NPI:1649388224
Name:SAKI, SCOTT MITOSHI (OD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:MITOSHI
Last Name:SAKI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2153 N KING ST
Mailing Address - Street 2:101
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96819-4550
Mailing Address - Country:US
Mailing Address - Phone:808-847-2452
Mailing Address - Fax:
Practice Address - Street 1:2153 N KING ST
Practice Address - Street 2:101
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4550
Practice Address - Country:US
Practice Address - Phone:808-847-2452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2008-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI243152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0856700001Medicare NSC