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General NPI Number Information
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NPI Number | 1497830848
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Entity Type | Individual
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Provider Name | JANET J THAM O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 01/12/2018
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Provider Practice Location Address
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Address Line | 850 W HIND DR STE 212
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City | HONOLULU
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State | HI
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Zip | 96821-1845
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Country | US
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Telephone | 808-373-4522
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Fax | 808-373-3299
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Provider Business Mailing Address
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Address Line | MSC 61380 PO BOX 1300
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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 | 808-373-4522
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Fax | 808-373-3299
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA1817
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License Number State | MD
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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-813
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License Number State | HI
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