Individual
DR. EDWIN Y ENDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
98-1247 KAAHUMANU ST, STE 105, AIEA, HI 96701-5300
(808) 487-5500
(808) 486-2694
Mailing address
98-1247 KAAHUMANU ST, STE 105, AIEA, HI 96701-5300
(808) 487-5500
(808) 486-2694
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
149
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000PCBQF
MEDICARE INDIVIDUAL
HI
05
—
04604501
—
HI
01
—
HEENDO
MEDICARE GROUP PTAN
HI
Enumeration date
01/10/2006
Last updated
06/03/2012
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