Healthcare Provider Details

I. General information

NPI: 1548544497
Provider Name (Legal Business Name): CDS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2011
Last Update Date: 10/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

737 BISHOP ST SUITE 110
HONOLULU HI
96813-3201
US

IV. Provider business mailing address

737 BISHOP ST SUITE 110
HONOLULU HI
96813-3201
US

V. Phone/Fax

Practice location:
  • Phone: 808-523-6484
  • Fax: 808-523-6485
Mailing address:
  • Phone: 808-523-6484
  • Fax: 808-523-6485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number0074
License Number StateHI

VIII. Authorized Official

Name: MR. ROBERT F. COOKE
Title or Position: PRESIDENT
Credential:
Phone: 808-523-6484