Provider Demographics
NPI:1427058742
Name:KATO, SHERI MK
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:MK
Last Name:KATO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:M
Other - Last Name:KOZOHARA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:563 FARRINGTON HWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2031
Mailing Address - Country:US
Mailing Address - Phone:808-693-8789
Mailing Address - Fax:808-693-8790
Practice Address - Street 1:563 FARRINGTON HWY
Practice Address - Street 2:SUITE 205
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2031
Practice Address - Country:US
Practice Address - Phone:808-693-8789
Practice Address - Fax:808-693-8790
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD532152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A0224749OtherHMSA
HI501537-02Medicaid