Active NPI
Grant Tadashi Miyashiro, O.D.
- Optometrist
- Hilo, HI
National Provider Identifier
1780808352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 422
- Practice address
- 34 W Kawailani St
Hilo, HI 96720-5649 - Phone
- (808) 935-8887
- Fax
- (808) 892-5882
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 422 | HI | Primary |
Addresses
Primary practice location
34 W Kawailani St
Hilo, HI 96720-5649
Mailing address
PO Box 29729
Honolulu, HI 96820-2129
Phone (808) 935-8887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 422 | HI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1780808352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29729",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968202129",
"telephone_number": "808-935-8887",
"fax_number": "808-935-1982"
},
{
"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": "967205649",
"telephone_number": "808-935-8887",
"fax_number": "808-892-5882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIYASHIRO",
"first_name": "GRANT",
"middle_name": "TADASHI",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "HI",
"license": "422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Apr 12, 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.