Provider Demographics
NPI:1174938732
Name:WENDI N. HARADA, O.D., INC.
Entity type:Organization
Organization Name:WENDI N. HARADA, O.D., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDI
Authorized Official - Middle Name:N
Authorized Official - Last Name:HARADA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-487-0789
Mailing Address - Street 1:98-180 KAMEHAMEHA HWY
Mailing Address - Street 2:ATTN: SEARS OPTICAL
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4709
Mailing Address - Country:US
Mailing Address - Phone:808-487-0789
Mailing Address - Fax:808-487-9854
Practice Address - Street 1:98-180 KAMEHAMEHA HWY
Practice Address - Street 2:ATTN: SEARS OPTICAL
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4709
Practice Address - Country:US
Practice Address - Phone:808-487-0789
Practice Address - Fax:808-487-9854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-23
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD600152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty