Fusato, Grant Y.

Fusato, Grant Y. is an sole proprietor health care provider with primary practice located at 4510 Salt Lake Blvd B-11, Honolulu HI 96818-3153. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fusato, Grant Y. can be contacted via phone (808) 486-9393.

Contact Information

Primary practice address
4510 Salt Lake Blvd B-11 Honolulu HI 96818-3153
Phone: (808) 486-9393
Fax: (808) 486-9391
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD516 Hawaii

Profile Details

NPI number 1821075094
LBN Legal business name Fusato, Grant Y.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 28th, 2005
Last updated Dec 19th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821075094 NPPES
Hawaii Other 990348300 TRICARE
Hawaii Other A21764-4 TRICARE

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