Individual
DR. TODD KYLE NAKAGAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1001 KAMOKILA BLVD, #108, KAPOLEI, HI 96707-2014
(808) 674-0085
(808) 674-8785
Mailing address
1001 KAMOKILA BLVD, SUITE 108, KAPOLEI, HI 96707-2014
(808) 674-0085
(808) 674-8785
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
572
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
532219-01
—
HI
01
—
CF799A
MEDICARE PIN GROUP NUMBER 1700011996
HI
Enumeration date
07/12/2006
Last updated
01/28/2010
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