Organization
DR. IRA FUJISAKI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA FUJISAKI OD (MEMBER)
(808) 455-1922
Entity
Organization
Contact information
Practice address
850 KAMEHAMEHA HWY, SUITE 166, PEARL CITY, HI 96782-2657
(808) 455-1922
Mailing address
850 KAMEHAMEHA HWY, SUITE 166, PEARL CITY, HI 96782-2657
(808) 455-1922
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD-245
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD-245
MEDICAL LICENSE
HI
Enumeration date
02/01/2016
Last updated
02/01/2016
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