Individual
DR. LEILA M. MIYAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
750 KEEAUMOKU ST, HONOLULU, HI 96814-3014
(808) 256-4995
(808) 945-9859
Mailing address
405 N KUAKINI ST, STE 605, HONOLULU, HI 96817-6302
(808) 256-4995
(808) 945-9859
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
190
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01799501
—
HI
01
—
990305380 01
UNIVERSITY HEALTH ALLIANC
HI
01
—
990305380 02
UHA
HI
01
—
990305380 20
UHA
HI
01
—
990305380 21
UHA
HI
01
—
C0019343
HAWAII MEDICAL SERVICE AS
HI
01
—
CW997Z
PTAN
HI
01
—
D0019341
HMSA
HI
Enumeration date
10/04/2006
Last updated
05/13/2020
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