Healthcare Provider Details

I. General information

NPI: 1437734332
Provider Name (Legal Business Name): AIKO SEFFINGER OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2021
Last Update Date: 04/30/2024
Certification Date: 05/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65-1227B OPELO RD STE 5
KAMUELA HI
96743-8443
US

IV. Provider business mailing address

PO BOX 384678
WAIKOLOA HI
96738-4678
US

V. Phone/Fax

Practice location:
  • Phone: 808-885-4000
  • Fax:
Mailing address:
  • Phone: 310-782-4590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WS0006X
TaxonomySports Vision Optometrist
License NumberOD-938
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOD-938
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: