Individual
DR. ROBB T. SHIBAYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O,D,
Contact information
Practice address
1000 KAMEHAMEHA HWY STE 100, PEARL CITY, HI 96782-2596
(808) 456-3937
(808) 454-0683
Mailing address
1228 ALA AUPAKA PL, HONOLULU, HI 96818-2232
(808) 225-7622
(808) 454-0683
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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