=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487597845
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DONNA JANE ROY DIO 487
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/10/2026
-----------------------------------------------------
Last Update Date | 04/10/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 101 PAKAULA ST
-----------------------------------------------------
City | KAHULUI
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96732-3508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-871-7104
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 177 KULALANI CIR
-----------------------------------------------------
City | KULA
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96790-8216
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-871-7104
-----------------------------------------------------
Fax | 808-871-7812
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 156FX1800X
-----------------------------------------------------
Taxonomy Name | Optician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------