Healthcare Provider Details

I. General information

NPI: 1841499837
Provider Name (Legal Business Name): JOSEPH HARTMAN O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 W KAAHUMANU AVE STE 1010
KAHULUI HI
96732-1612
US

IV. Provider business mailing address

275 W KAAHUMANU AVE STE 1010
KAHULUI HI
96732-1612
US

V. Phone/Fax

Practice location:
  • Phone: 808-870-2550
  • Fax: 719-884-1319
Mailing address:
  • Phone: 808-870-2550
  • Fax: 719-884-1319

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOD 720
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPT 2783
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: