Provider Demographics
NPI:1750450193
Name:OZAKI-MORISHIGE, CARLENE YUKI (OD)
Entity Type:Individual
Prefix:DR
First Name:CARLENE
Middle Name:YUKI
Last Name:OZAKI-MORISHIGE
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 1:95-667 LAUAWA ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-2929
Mailing Address - Country:US
Mailing Address - Phone:808-623-2812
Mailing Address - Fax:
Practice Address - Street 1:98-180 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4709
Practice Address - Country:US
Practice Address - Phone:808-488-0815
Practice Address - Fax:808-488-0815
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD425152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI919785OtherCOLE VISION
HI43106OtherCLARITY VISION
HI11088OtherDAVIS VISION
HIA20426-1OtherHMSA
HIU80473Medicare UPIN
HI52602Medicare ID - Type Unspecified