Provider Demographics
NPI:1992250955
Name:MAEKAWA, ASHLEY ROSE PIILANI (OD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:ROSE PIILANI
Last Name:MAEKAWA
Suffix:
Gender:F
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:MSC 61219 P.O. BOX 1300
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96807-1300
Mailing Address - Country:US
Mailing Address - Phone:808-885-4000
Mailing Address - Fax:808-885-7079
Practice Address - Street 1:65-1227B OPELO RD STE 5
Practice Address - Street 2:
Practice Address - City:KAMUELA
Practice Address - State:HI
Practice Address - Zip Code:96743-8443
Practice Address - Country:US
Practice Address - Phone:808-885-4000
Practice Address - Fax:808-885-7079
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD-841152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist