Provider Demographics
NPI:1336169929
Name:JAMES H SAKAMOTO OD INC
Entity Type:Organization
Organization Name:JAMES H SAKAMOTO OD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:SAKAMOTO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-622-2020
Mailing Address - Street 1:610 KILANI AVE
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-1904
Mailing Address - Country:US
Mailing Address - Phone:808-622-2020
Mailing Address - Fax:808-622-9009
Practice Address - Street 1:610 KILANI AVE
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-1904
Practice Address - Country:US
Practice Address - Phone:808-622-2020
Practice Address - Fax:808-622-9009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI66, 336152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI05103902Medicaid
HI0465630001Medicare NSC
HIHJSAKAMOTOMedicare PIN
HIH0000PGBGMMedicare ID - Type UnspecifiedDR. JAMES H. SAKAMOTO
HI05103902Medicaid