Provider Demographics
NPI:1689933129
Name:KAMEMOTO, JODI A (OD)
Entity Type:Individual
Prefix:DR
First Name:JODI
Middle Name:A
Last Name:KAMEMOTO
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 1:1251 HEULU STREET APT 204
Mailing Address - Street 2:HONOLULU
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822
Mailing Address - Country:US
Mailing Address - Phone:808-728-9201
Mailing Address - Fax:
Practice Address - Street 1:1831 S KING ST STE 203
Practice Address - Street 2:HONOLULU
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-2131
Practice Address - Country:US
Practice Address - Phone:808-955-2015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-03
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD 797152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist