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General NPI Number Information
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NPI Number | 1740658848
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Entity Type | Organization
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Legal Business Name | 808 EYE CARE, LLC
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Dates
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Enumeration Date | 09/04/2015
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Last Update Date | 09/04/2015
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Provider Practice Location Address
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Address Line | 55 S KUKUI ST SUITE C109
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City | HONOLULU
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State | HI
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Zip | 96813-2310
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Country | US
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Telephone | 808-531-8874
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 240726
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City | HONOLULU
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State | HI
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Zip | 96824-0726
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ROLIN OTOMO
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Credential |
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Telephone | 808-854-5773
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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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