Provider Demographics
NPI:1730216938
Name:NELSON O YOSHIOKA JR OD INC
Entity type:Organization
Organization Name:NELSON O YOSHIOKA JR OD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:
Authorized Official - First Name:NELSON
Authorized Official - Middle Name:O
Authorized Official - Last Name:YOSHIOKA
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:808-734-7050
Mailing Address - Street 1:1123 11TH AVE
Mailing Address - Street 2:#203
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-2433
Mailing Address - Country:US
Mailing Address - Phone:808-734-7050
Mailing Address - Fax:808-734-8897
Practice Address - Street 1:1123 11TH AVE
Practice Address - Street 2:#203
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-2433
Practice Address - Country:US
Practice Address - Phone:808-734-7050
Practice Address - Fax:808-734-8897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD219152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIC21513OtherHMSA - KAIMUKI
HI57674230121OtherUHA - VISION
HIJ21517OtherHMSA - PC
HI57674230101OtherUHA - MEDICAL
HIH54242Medicare PIN
HIJ21517OtherHMSA - PC
HI54241Medicare PIN