Individual
DR. KEN NAGAHIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-803 PAPIPI RD, EWA BEACH, HI 96706-2438
(808) 689-7911
(808) 689-8831
Mailing address
91-803 PAPIPI RD, EWA BEACH, HI 96706-2438
(808) 689-7911
(808) 689-8831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
105
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000058735
HMSA QUEST
HI
05
—
05135801
—
HI
01
—
5873-5
HMSA
HI
Enumeration date
05/16/2006
Last updated
12/17/2008
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