Individual
DR. WALTER M YAMAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
O.D. 172
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
990331542
VSP
HI
01
—
A001258-1
HMSA
HI
01
—
HWYAMA
MEDICARE NUMBER
HI
01
—
WALTER M YAMAMOTO OC
HMA INC DBA HEALTH MGMT
HI
Enumeration date
03/07/2007
Last updated
02/14/2019
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