Individual
DR. ANDREW YOSHIMITSU MAEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1234 KILAUEA AVE, HILO, HI 96720-4206
(808) 935-5228
(808) 969-9117
Mailing address
1234 KILAUEA AVE, HILO, HI 96720-4206
(808) 935-5228
(808) 969-9117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
104
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051347-01
—
HI
01
—
58727
HMSA
HI
Enumeration date
01/26/2007
Last updated
07/09/2007
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