Grant Y. Fusato, Od

NPI #1235645615 in Honolulu, Hawaii

Provider Information

NPI Number: 1235645615
Entity Type: Organization
Organization Name: Grant Y. Fusato, Od
Primary Specialty: Optometrist
Enumeration Date: Dec 20, 2017
Last Updated: Dec 20, 2017

Practice Location

Address: 4510 SALT LAKE BLVD STE B11
City: Honolulu
State: Hawaii
ZIP Code: 96818-3171
Phone: (808) 486-9393

Authorized Official

Name: DR. GRANT FUSATO, OD
Title: OWNER
Phone: (808) 486-9393

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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