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
Update your record
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