Provider Demographics
NPI:1811024094
Name:NELSON O. YOSHIOKA, JR., O.D., INC.
Entity Type:Organization
Organization Name:NELSON O. YOSHIOKA, JR., O.D., INC.
Other - Org Name:CHERYL C. NIITANI, O.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:C
Authorized Official - Last Name:NIITANI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-455-3333
Mailing Address - Street 1:850 KAMEHAMEHA HWY
Mailing Address - Street 2:SUITE 114
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-2656
Mailing Address - Country:US
Mailing Address - Phone:808-455-3333
Mailing Address - Fax:808-455-5074
Practice Address - Street 1:850 KAMEHAMEHA HWY
Practice Address - Street 2:SUITE 114
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-2656
Practice Address - Country:US
Practice Address - Phone:808-455-3333
Practice Address - Fax:808-455-5074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD311152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI57672835420OtherUHA -VISION
HI576728354OtherUHA - MEDICAL
HIJ77675OtherHMSA
HI576728354OtherUHA - MEDICAL
HIJ77675OtherHMSA
HI54247Medicare ID - Type Unspecified