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NPI Code Detail

MEDICARE: DR. JANET J THAM O.D.

MEDICARE:  DR. JANET J THAM  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristTA1817MD
2152W00000XOptometristOD-813HI

General Provider Information

NPI Number : 1497830848
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANET J THAM O.D.
Provider Business Mailing Address
First Line : MSC 61380 PO BOX 1300
Second Line :
City : HONOLULU
State : HI
Zip : 96807-1300
Country : US
Telephone Number : 808-373-4522
Fax Number : 808-373-3299
Provider Business Practice Location Address
First Line : 850 W HIND DR STE 212
Second Line :
City : HONOLULU
State : HI
Zip : 96821-1845
Country : US
Telephone Number : 808-373-4522
Fax Number : 808-373-3299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2006
Last Update Date : 01/12/2018

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Directions to “ DR. JANET J THAM O.D.” Practice Location

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