Grant Y. Fusato, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD516 Issued in HI

Legal business name

GRANT Y. FUSATO, OD

Practice address

4510 Salt Lake Blvd Ste B11
Honolulu, HI 96818-3171

Phone

(808) 486-9393

NPI assigned

Dec 20, 2017

Last updated

Dec 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grant Fusato, ODNPI 1821075094

Title

Owner

Phone

(808) 486-9393

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grant Y. Fusato, O.D.

  • Optometrist
  • Honolulu, HI
  • NPI 1821075094
  Authorized official Same address or phone

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513728000000",
    "number": "1235645615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 SALT LAKE BLVD STE B11",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183171",
            "telephone_number": "808-486-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 SALT LAKE BLVD STE B11",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183171",
            "telephone_number": "808-486-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT Y. FUSATO, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2017-12-20",
        "status": "A",
        "authorized_official_last_name": "FUSATO",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-486-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Hayley Grammer, FNP
• Justin Kapono Grandalen, PA-C
• James Grandy, APRN, PMHNP-BC
• Sarah T Graner, MD
• Grant L Y Chen MD LLC (Grant L Y Chen MD)
• Blair Alexandria Grant, MSN, APRN-RX, FNP-BC
• Tau'Mee Janel Graskoski
• Mark T. Grattan, M.D.
• Krista Marie Graves, LAC
• Aaliyah Gray

• Optometrist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; 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.