Organization
ANDREW Y MAEDA OD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER M MAEDA O.D. (OPTOMETRIST)
(808) 935-5228
Entity
Organization
Contact information
Practice address
1234 KILAUEA AVE, HILO, HI 96720-4206
(808) 935-5228
(808) 969-9117
Mailing address
1234 KILAUEA AVE, HILO, HI 96720-4282
(808) 935-5228
(808) 969-9117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H100355
HAWAII MEDICARE
HI
Enumeration date
04/24/2007
Last updated
06/30/2023
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