Seismic ocean thermometry uses sound waves generated by repeating earthquakes to measure temperature change in the deep ocean. In this study, waves generated by earthquakes along the Japan Trench and received at Wake Island are used to constrain temperature variations in the Kuroshio Extension region. This region is characterized by energetic mesoscale eddies and large decadal variability, posing a challenging sampling problem for conventional ocean observations. The seismic measurements are obtained from a hydrophone station off and a seismic station on Wake Island, with the seismic station's digital record reaching back to 1997. These measurements are combined in an inversion for the time and azimuth dependence of the range-averaged deep temperatures, revealing lateral and temporal variations due to Kuroshio Extension meanders, mesoscale eddies, and decadal water mass rearrangements. These results highlight the potential of seismic ocean thermometry for better constraining the variability and trends in deep-ocean temperatures. By overcoming the aliasing problem of point measurements, these measurements complement existing ship- and float-based hydrographic measurements.