DR. GRANT Y. FUSATO


Address: 4510 Salt Lake Blvd, B-11, Honolulu, HI 96818-3153
Phone: 8084869393

DR. GRANT Y. FUSATO (NPI# 1821075094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821075094
Entity Type Individual
Full Name DR. GRANT Y. FUSATO
Credential O.D.
Practice Address 4510 Salt Lake Blvd
B-11
Honolulu
HI 96818-3153
Practice Telephone 8084869393
Practice Fax Number 8084869391
Mailing Telephone 8084869393
Mailing Fax Number 8084869391
Enumeration Date 2005-12-28
Last Update Date 2017-12-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OD516 HI Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
HI TRICARE 990348300 01
HI HMSA A21764-4 01

Office Location

Street Address 4510 SALT LAKE BLVD
B-11
City HONOLULU
State HI
Zip Code 96818-3153

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255932133 Trina Mae Ortego Behavior Technician 4510 Salt Lake Blvd, Honolulu, HI 96818-3153 2020-11-05
1386244028 Brazzlynn Tovio-asato Behavior Technician 4510 Salt Lake Blvd, Honolulu, HI 96818-3153 2020-10-30
1568060994 Travis Takamori Behavior Technician 4510 Salt Lake Blvd, Honolulu, HI 96818-3153 2020-10-16
1619575891 Daniel Muhlbach Behavior Technician 4510 Salt Lake Blvd, Honolulu, HI 96818-3153 2020-10-11
1649894734 Nuri Rhines Behavior Technician 4510 Salt Lake Blvd, Honolulu, HI 96818-3153 2020-06-03
1407478407 Keora Cummings Behavior Technician 4510 Salt Lake Blvd, Honolulu, HI 96818-3153 2020-05-12
1720610116 Jensen Leonaka Keoki Kalua Behavior Technician 4510 Salt Lake Blvd, Honolulu, HI 96818-3153 2020-02-04
1467083824 Azurine Miller Behavior Technician 4510 Salt Lake Blvd, Honolulu, HI 96818-3153 2020-02-03
1053951681 Brianna Fujii Behavior Technician 4510 Salt Lake Blvd, Honolulu, HI 96818-3153 2020-01-11
1649818790 Stephanie Lynn Mcdonough Technician, Other 4510 Salt Lake Blvd, Honolulu, HI 96818-3153 2019-12-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356992457 Emma Jo Ann Marquez Military Health Care Provider 755 Scott Circle Drive, Honolulu, HI 96818 2019-09-20
1497227979 Melanie Fujii Behavior Technician 4510 Salt Lake Boulevard, Suite D-8, Honolulu, HI 96818 2018-12-21
1174016687 Kerestin Elizabeth Walker Counselor 615 Piikoi St, Suite 203, Honolulu, HI 96818 2018-06-08
1598272411 Juli K Kaaihue Behavior Technician 4510 Salt Lake Blvd., D-8, Honolulu, HI 96818 2017-12-30
1861904864 Joanna Wolford Licensed Practical Nurse 1514 Makalapa Drive, Apo, AA 96818 2017-10-30
1093232662 Lorri Kim Gomes Social Worker 1147 Ala Napunani St., #206, Honolulu, HI 96818 2017-08-24
1871960278 Cassandra Fisher Speech-Language Pathologist 202a Beard Ave, Honolulu, HI 96818 2015-09-01
1689073959 Eanah Whaley Psychologist 750 Signer Blvd Bldg 554, Honolulu, HI 96818 2014-08-22
1346599214 Hawaii Mobility Durable Medical Equipment & Medical Supplies 4355 Lawehana #8, Honolulu, HI 96818 2012-09-06
1326303181 Evelyn Ogami-glary Massage Therapist 1780 Bougainvillea Lp, Physical Fitness Center Aliamanu Military Reservation, Honolulu, HI 96818 2012-07-09
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528689452 Wendi N. Harada, O.d., Inc. Optometrist 1450 Ala Moana Blvd Ste 1300, Honolulu, HI 96814-4624 2020-05-01
1306408661 Jennifer Michie Teruya Optometrist 7766 Waikapu Loop, Honolulu, HI 96825-3025 2019-07-07
1255992996 Nicole Yokoyama Optometrist 1221 Kapiolani Blvd Ste 120, Honolulu, HI 96814-3501 2019-06-24
1508427493 Colby Yamamoto Optometrist 2055 N King St Ste 101, Honolulu, HI 96819-3462 2019-06-22
1750867727 Joanna Ngoc Ma Optometrist 4211 Waialae Ave Ste 108, Honolulu, HI 96816-5300 2018-07-12
1235645615 Grant Y. Fusato, Od Optometrist 4510 Salt Lake Blvd Ste B11, Honolulu, HI 96818-3171 2017-12-20
1275062614 Irvin Tsumoto Optometrist 1450 Ala Moana Blvd #3265, Honolulu, HI 96814 2017-06-08
1467987636 Calvin Alonzo Od, Inc Optometrist 405 N Kuakini St Ste 605, Honolulu, HI 96817-6302 2017-04-25
1356742944 Dr Michael Vanlangeveld and Associates LLC Optometrist 1050 Ala Moana Blvd Ste 1325, Honolulu, HI 96814-4922 2014-09-15
1881000487 Lizeth Rebeca Delgado Optometrist 1401 S Beretania St Ste 570, Honolulu, HI 96814-1871 2014-07-03
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City HONOLULU
Zip Code 96818

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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