Provider Demographics
NPI:1770623373
Name:DANIEL M. YAMAMOTO, O.D.
Entity type:Organization
Organization Name:DANIEL M. YAMAMOTO, O.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.'S ASSISTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:VICTORINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-949-2662
Mailing Address - Street 1:1441 KAPIOLANI BLVD STE 1110
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4406
Mailing Address - Country:US
Mailing Address - Phone:808-949-2662
Mailing Address - Fax:808-947-0120
Practice Address - Street 1:1441 KAPIOLANI BLVD STE 1110
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4406
Practice Address - Country:US
Practice Address - Phone:808-949-2662
Practice Address - Fax:808-947-0120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD260152W00000X, 332H00000X
HIOD571332H00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty