Provider Demographics
NPI:1396965737
Name:KOBAYASHI, ARTHUR T (OD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:T
Last Name:KOBAYASHI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-2038
Mailing Address - Country:US
Mailing Address - Phone:808-622-4121
Mailing Address - Fax:808-621-5041
Practice Address - Street 1:960 CENTER ST
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2038
Practice Address - Country:US
Practice Address - Phone:808-622-4121
Practice Address - Fax:808-621-5041
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2019-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHI OD-0098152WC0802X
HIOD-098152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management