MEDICARE: DR. DANIEL BRUCE HARKER 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
1	152W00000X	Optometrist	14392	CA
2	152W00000X	Optometrist	746	HI

General Provider Information

NPI Number	:	1841552940
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL BRUCE HARKER O.D.

Provider Business Mailing Address
First Line	:	4463 PAHEE ST STE 206
Second Line	:
City	:	LIHUE
State	:	HI
Zip	:	96766-2000
Country	:	US
Telephone Number	:	808-246-0110
Fax Number	:

Provider Business Practice Location Address
First Line	:	4463 PAHEE ST STE 206
Second Line	:
City	:	LIHUE
State	:	HI
Zip	:	96766-2000
Country	:	US
Telephone Number	:	808-246-0110
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2012
Last Update Date	:	12/07/2021

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Directions to “ DR. DANIEL BRUCE HARKER O.D.” Practice Location

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