Provider Demographics
NPI:1548323298
Name:ANZAI, DAVID M
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:ANZAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 PAA ST
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-3605
Mailing Address - Country:US
Mailing Address - Phone:808-877-7828
Mailing Address - Fax:808-442-9764
Practice Address - Street 1:32 PAA ST
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-3605
Practice Address - Country:US
Practice Address - Phone:808-877-7828
Practice Address - Fax:808-442-9764
Is Sole Proprietor?:No
Enumeration Date:2006-12-17
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI237152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist