Individual
DR. ROBB T. SHIBAYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O,D,
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD 529
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H53237
MEDICARE PTAN ASSOCIATED WITH GROUP NPI 1629125752
HI
Enumeration date
01/04/2007
Last updated
10/17/2012
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