Provider Demographics
NPI:1669781704
Name:TOYOTA, SARA ELLEN MISAKO (OD)
Entity type:Individual
Prefix:DR
First Name:SARA ELLEN
Middle Name:MISAKO
Last Name:TOYOTA
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 1:46-056 KAMEHAMEHA HWY # 1-6
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3755
Mailing Address - Country:US
Mailing Address - Phone:808-235-1838
Mailing Address - Fax:
Practice Address - Street 1:46-056 KAMEHAMEHA HWY
Practice Address - Street 2:#1-6
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3755
Practice Address - Country:US
Practice Address - Phone:808-235-6641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD 732152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist