Provider Demographics
NPI:1699823815
Name:ARAKAKI, LINDA TOYOKO (OD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:TOYOKO
Last Name:ARAKAKI
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 1:94-849 LUMIAINA ST UNIT 103
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-5677
Mailing Address - Country:US
Mailing Address - Phone:808-671-1656
Mailing Address - Fax:808-671-2020
Practice Address - Street 1:94-849 LUMIAINA ST UNIT 103
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-5677
Practice Address - Country:US
Practice Address - Phone:808-671-1656
Practice Address - Fax:808-671-2020
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI397152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI04798102Medicaid
HI55928OtherGROUP NUMBER WAIPAHU SITE
HI55923OtherGROUP NUMBER HONOLULU SIT
HI55923OtherGROUP NUMBER HONOLULU SIT
HIU52036Medicare UPIN
HI55929Medicare ID - Type UnspecifiedWAIPAHU LOCATION