Healthcare Provider Details
I. General information
NPI: 1124381652
Provider Name (Legal Business Name): DR. SARAH PARKER READ
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/19/2012
Last Update Date: 09/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
98-1079 MOANALUA RD STE 470
AIEA HI
96701-4723
US
IV. Provider business mailing address
98-1079 MOANALUA RD STE 470
AIEA HI
96701-4723
US
V. Phone/Fax
- Phone: 808-487-8928
- Fax:
- Phone: 808-487-8928
- Fax: 808-487-3699
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | ME128182 |
| License Number State | FL |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207W00000X |
| Taxonomy | Ophthalmology Physician |
| License Number | MD19698 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: