Individual
DR. GUY M NISHIZAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
45 AULIKE ST, SUITE 47, KAILUA, HI 96734-2708
(808) 262-2330
(808) 261-5423
Mailing address
45 AULIKE ST, SUITE 47, KAILUA, HI 96734-2708
(808) 262-2330
(808) 261-5423
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD135
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0484770001
DMERC
ID
05
—
051611-01
—
HI
01
—
5896-6
HMSA
HI
Enumeration date
09/21/2005
Last updated
10/30/2007
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