Healthcare Provider Details

I. General information

NPI: 1538578679
Provider Name (Legal Business Name): VICTORIA FELICIA PIAMONTE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2014
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

NAVAL HEALTH CLINIC HAWAII 480 CENTRAL AVENUE
JPBHH HI
96860
US

IV. Provider business mailing address

NAVAL HEALTH CLINIC HAWAII 480 CENTRAL AVENUE
JPBHH HI
96860
US

V. Phone/Fax

Practice location:
  • Phone: 808-473-1880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number14837
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: