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NPI Code Detail

MEDICARE: DR. JULIE HONDA O.D.

MEDICARE: DR. JULIE HONDA 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
1152W00000XOptometrist99-0255812HI

General Provider Information

NPI Number : 1831290071
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIE HONDA O.D.
Provider Business Mailing Address
First Line : 75-166 KALANI ST
Second Line : SUITE 102
City : KAILUA KONA
State : HI
Zip : 96740-1857
Country : US
Telephone Number : 808-329-3535
Fax Number : 888-242-1855
Provider Business Practice Location Address
First Line : 75-166 KALANI ST
Second Line : SUITE 102
City : KAILUA KONA
State : HI
Zip : 96740-1857
Country : US
Telephone Number : 808-329-3535
Fax Number : 888-242-1855
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 04/26/2011

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