Provider Demographics
NPI:1710982467
Name:INOUYE, KENSEY S (OD)
Entity Type:Individual
Prefix:DR
First Name:KENSEY
Middle Name:S
Last Name:INOUYE
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 1:1820 ALGAROBA ST
Mailing Address - Street 2:STE 200
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-2678
Mailing Address - Country:US
Mailing Address - Phone:808-949-9999
Mailing Address - Fax:808-949-5769
Practice Address - Street 1:1820 ALGAROBA ST
Practice Address - Street 2:STE 200
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-2678
Practice Address - Country:US
Practice Address - Phone:808-949-9999
Practice Address - Fax:808-949-5769
Is Sole Proprietor?:No
Enumeration Date:2005-06-18
Last Update Date:2017-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD-142152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0486570001OtherCIGNA MEDICARE #
HI20-0568659OtherFED TAX ID #
HI04497801Medicaid
HIT41167Medicare UPIN
HIH101431Medicare PIN