DR. Glenn Mikio Watanabe, O.D.

NPI #1689720880 in Waipahu, Hawaii

Provider Information

NPI Number: 1689720880
Entity Type: Individual
Name: DR. Glenn Mikio Watanabe, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 28, 2007
Last Updated: Apr 11, 2008

Practice Location

Address: 94-239 WAIPAHU DEPOT ST
Address 2: #213
City: Waipahu
State: Hawaii
ZIP Code: 96797-3056
Phone: (808) 671-2888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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