Individual
DR. IAN KAWAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
34 W KAWAILANI ST, HILO, HI 96720-5649
(808) 935-8887
(808) 892-5882
Mailing address
PO BOX 29729, HONOLULU, HI 96820-2129
(808) 935-8887
(808) 892-5882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
512
NV
152W00000X
Optometrist
Primary
OD-854
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100504119
—
NV
Enumeration date
12/19/2005
Last updated
05/04/2017
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