Kawamoto, Ian

Kawamoto, Ian is an individual health care provider with primary practice located at 34 W Kawailani St , Hilo HI 96720-5649. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Kawamoto, Ian can be contacted via phone (808) 935-8887.

Contact Information

Primary practice address
34 W Kawailani St Hilo HI 96720-5649
Phone: (808) 935-8887
Fax: (808) 892-5882
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 512 Nevada
Eye and Vision Services Providers / Optometrist 152W00000X OD-854 Hawaii

Profile Details

NPI number 1972589273
LBN Legal business name Kawamoto, Ian
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated May 4th, 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 1972589273 NPPES
Nevada MEDICAID 100504119

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