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General NPI Number Information
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NPI Number | 1063586741
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Entity Type | Individual
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Provider Name | JOEL ERNEST PUNZAL OD
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Gender | Male
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 01/14/2020
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Provider Practice Location Address
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Address Line | 4454 NUHOU ST
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City | LIHUE
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State | HI
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Zip | 96766-8022
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Country | US
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Telephone | 808-278-8383
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Fax | 808-855-2004
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Provider Business Mailing Address
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Address Line | 4454 NUHOU ST STE 513
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City | LIHUE
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State | HI
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Zip | 96766-8022
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Country | US
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Telephone | 88-278-8383
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Fax | 808-855-2004
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 607
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD-607
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License Number State | HI
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