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Organization

EDWIN YOSHIO ENDO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWIN Y ENDO O.D. (OWNER/OPTOMETRIST)
(808) 487-5500
Entity
Organization

Contact information

Practice address
98-1247 KAAHUMANU ST, STE 105, AIEA, HI 96701-5300
(808) 487-5500
Mailing address
98-1247 KAAHUMANU ST, STE 105, AIEA, HI 96701-5300
(808) 487-5500

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
149
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04604501
HI
01
HEENDO
MEDICARE GROUP
HI
Enumeration date
01/14/2011
Last updated
03/23/2012
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