Organization Active NPI

Grant T Miyashiro OD LLC

  • Optometrist
  • Hilo, HI
National Provider Identifier
1225005325
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD422 Issued in HI
Legal business name
GRANT T MIYASHIRO OD LLC
Practice address
34 W. Kawailani St.
Hilo, HI 96720
Phone
(808) 935-8887
Fax
(888) 892-5882
NPI assigned
Mar 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Grant Tadashi Miyashiro, O.D.
Title
Principal/Optometrist
Phone
(808) 935-8887

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD422 HI Primary

Addresses

Primary practice location

34 W. Kawailani St.
Hilo, HI 96720

Mailing address

34 W. Kawailani St.
Hilo, HI 96720
Phone (808) 935-8887

Other identifiers 1

IdentifierTypeStateIssuer
OOA0223063OtherHIHMSA

Other names 1

  • Eye Care Hawaii Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1225005325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 W. KAWAILANI ST.",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-935-8887",
            "fax_number": "888-892-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W. KAWAILANI ST.",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-935-8887",
            "fax_number": "888-892-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT T MIYASHIRO OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "MIYASHIRO",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "TADASHI",
        "authorized_official_title_or_position": "PRINCIPAL/OPTOMETRIST",
        "authorized_official_telephone_number": "808-935-8887",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "OOA0223063",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Hawaii",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.