Endo, Edwin Y
Endo, Edwin Y is an sole proprietor health care provider with primary practice located at 98-1247 Kaahumanu St Ste 105, Aiea HI 96701-5300. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Endo, Edwin Y can be contacted via phone (808) 487-5500.Contact Information
Primary practice address
98-1247 Kaahumanu St Ste 105
Aiea HI 96701-5300
Phone: (808) 487-5500
Fax: (808) 486-2694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 149 | Hawaii |
Profile Details
| NPI number | 1861471674 |
|---|---|
| LBN Legal business name | Endo, Edwin Y |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2006 |
| Last updated | Jun 3rd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861471674 | NPPES |
| Hawaii | Other | 0000PCBQF | MEDICARE INDIVIDUAL |
| Hawaii | MEDICAID | 04604501 | MEDICARE INDIVIDUAL |
| Hawaii | Other | HEENDO | MEDICARE INDIVIDUAL |
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