IAN KAWAMOTO OD

GRANT T MIYASHIRO OD LLC

Dr IAN KAWAMOTO OD is a male medical professional, specializing in Optometry. He graduated in 2004 from Southern College Of Optometry.

Contact

GRANT T MIYASHIRO OD LLC

34 W KAWAILANI ST
HILO
HI
967205649

Tel: 8089358887

IAN KAWAMOTO OD Information

Npi 1972589273
Pac Id 2062477433
Professional Enrollment Id I20170518001224
Last Name KAWAMOTO
First Name IAN
Middle Name
Suffix
Gender M
Credential OD
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 2004
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name GRANT T MIYASHIRO OD LLC
Group Practice Pac Id 4284612870
Number Of Group Practice Members 3
Line 1 Street Address 34 W KAWAILANI ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HILO
State HI
Zip Code 967205649
Phone Number 8089358887
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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