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Organization

MATSUYAMAS O D INC

Active
Other names
Styleyes
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WAYNE SUSUMU MATSUYAMA O.D. (PRESIDENT)
(808) 486-3937
Entity
Organization

Contact information

Practice address
98-150 KAONOHI ST, B211, AIEA, HI 96701-5047
(808) 486-3937
(808) 486-3386
Mailing address
98-150 KAONOHI ST, B211, AIEA, HI 96701-5047
(808) 486-3937
(808) 486-3386

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
130
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00B0058921
HI
05
05156700
HI
05
05156701
HI
01
193775
SUMMERLIN
HI
01
576602066
VISION SERVICE PLAN
HI
01
57660206621
UNIVERSITY HEALTH ALLIANC
HI
01
576602066264
UNIVERSITY HEALTH ALLIANC
HI
01
B5892-1
HMSA
HI
01
HI90130
VISION BENEFITS
HI
01
OP0579
EYEMED
HI
Enumeration date
03/28/2007
Last updated
09/02/2009
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