Provider Demographics
NPI:1538237227
Name:SAKAMOTO, JAMES H (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:SAKAMOTO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 KILANI AVENUE
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786
Mailing Address - Country:US
Mailing Address - Phone:808-622-2020
Mailing Address - Fax:808-622-9009
Practice Address - Street 1:610 KILANI AVENUE
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786
Practice Address - Country:US
Practice Address - Phone:808-622-2020
Practice Address - Fax:808-622-9009
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI66152WX0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI05103902Medicaid
HI05103902Medicaid
HIHJSAKAMOTOMedicare PIN