Provider Demographics
NPI:1669448114
Name:KATO, GLENN Y (OD)
Entity Type:Individual
Prefix:DR
First Name:GLENN
Middle Name:Y
Last Name:KATO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:449 KAPAHULU AVE
Mailing Address - Street 2:206
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-3850
Mailing Address - Country:US
Mailing Address - Phone:808-735-8080
Mailing Address - Fax:808-732-3927
Practice Address - Street 1:449 KAPAHULU AVE
Practice Address - Street 2:206
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-3850
Practice Address - Country:US
Practice Address - Phone:808-735-8080
Practice Address - Fax:808-732-3927
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI185152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIT41174Medicare UPIN
HIH52165Medicare PIN