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General NPI Number Information
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NPI Number | 1225314909
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Entity Type | Organization
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Legal Business Name | KENNETH J FISCHER O D INC
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Dates
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Enumeration Date | 10/26/2011
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 65-1227B OPELO RD STE 5
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City | KAMUELA
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State | HI
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Zip | 96743-8443
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Country | US
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Telephone | 808-885-4000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1300 MSC 61219
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City | HONOLULU
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State | HI
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Zip | 96807-1300
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Country | US
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Telephone | 808-885-4000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH FISCHER
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Credential | O.D.
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Telephone | 808-885-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State | HI
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