Individual
DR. STANLEY KOICHI SATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
94-595 KUPUOHI STREET, WAIPAHU, HI 96797
(808) 688-0841
(808) 688-0839
Mailing address
1548 GLEN AVENUE, WAHIAWA, HI 96786
(808) 621-6823
(808) 688-0839
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD-274
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A20160-6
HMSA
HI
Enumeration date
09/14/2006
Last updated
11/30/2012
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