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NPI Code Detail

MEDICARE: STEPHEN E. CLASON M.D.

MEDICARE: STEPHEN E. CLASON M.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
1207W00000XOphthalmology Physician3455HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982661161
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN E. CLASON M.D.
Provider Business Mailing Address
First Line : 615 PIIKOI ST
Second Line : #1802
City : HONOLULU
State : HI
Zip : 96814-3116
Country : US
Telephone Number : 808-591-9393
Fax Number : 808-591-9373
Provider Business Practice Location Address
First Line : 615 PIIKOI ST
Second Line : #1802
City : HONOLULU
State : HI
Zip : 96814-3116
Country : US
Telephone Number : 808-591-9393
Fax Number : 808-591-9373
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2006
Last Update Date : 10/17/2008

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Directions to “ STEPHEN E. CLASON M.D.” Practice Location

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