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NPI Code Detail

MEDICARE: DR. JOANNE SORIANO RIGDON O.D.

MEDICARE:  DR. JOANNE SORIANO RIGDON  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
1152W00000XOptometristOD-575HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100B0237129OTHERHIHMSA
200A0237121OTHERHIHMSA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952394660
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOANNE SORIANO RIGDON O.D.
Provider Business Mailing Address
First Line : 1029 KAPAHULU AVE STE 502
Second Line :
City : HONOLULU
State : HI
Zip : 96816-1332
Country : US
Telephone Number : 808-782-1861
Fax Number : 808-218-7830
Provider Business Practice Location Address
First Line : 1029 KAPAHULU AVE STE 502
Second Line :
City : HONOLULU
State : HI
Zip : 96816-1332
Country : US
Telephone Number : 808-782-1861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2005
Last Update Date : 11/21/2019

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Directions to “ DR. JOANNE SORIANO RIGDON O.D.” Practice Location

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