Organization
ROBB T. SHIBAYAMA, O.D., INC
Active
Parent organization
ROBB T. SHIBAYAMA, O.D., INC.
Other names
Hawaii Vision Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROBB T. SHIBAYAMA, O.D., INC.
Authorized official
DR. ROBB T. SHIBAYAMA OD (OWNER)
(808) 225-7622
Entity
Organization
Contact information
Practice address
750 KEEAUMOKU ST, HONOLULU, HI 96814-3014
(808) 945-3937
(808) 945-9859
Mailing address
1228 ALA AUPAKA PL, HONOLULU, HI 96818-2232
(808) 225-7622
(808) 945-9859
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD529
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GM370A
MEDICARE PTAN
HI
Enumeration date
08/01/2012
Last updated
10/17/2012
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