DR. GLENN SHIGEZAWA O.D. NPI 1144357757

NPI Information

  • NPI: 1144357757
  • Provider Name: DR. GLENN SHIGEZAWA, O.D.
  • Classification: Optometrist - 152W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1221 KAPIOLANI BLVD
    PH20
    HONOLULU, HI
    ZIP 96814
  • Phone: (808) 597-8156

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NPI Details

DR. Glenn Shigezawa, O.D. is an optometrist in Honolulu, HI. The provider is 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. DR. Glenn Shigezawa, O.D. NPI is 1144357757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1221 KAPIOLANI BLVD
PH20
HONOLULU, HI
ZIP 96814-503
Phone: (808) 597-8156
Fax: (808) 597-8156

The NPI 1144357757 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 2/28/2007 and was last updated on 8/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist235HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100000PGBDWMEDICARE ID-TYPE UNSPECIFIEDHAWAII
20467510001MEDICARE NSCHAWAII
3T41273MEDICARE UPINHAWAII
402138301MEDICAIDHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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