Organization
GERALD N. MATSUYAMA, O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD N. MATSUYAMA O.D. (PRESIDENT)
(808) 734-1988
Entity
Organization
Contact information
Practice address
1109 12TH AVE STE 103, HONOLULU, HI 96816-3714
(808) 734-1988
Mailing address
1109 12TH AVE STE 103, HONOLULU, HI 96816-3714
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
189
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01409062
—
HI
Enumeration date
04/03/2007
Last updated
04/28/2009
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