| |
79-7407 Mamalahoa Hwy, Suite E/f, Kealakekua, HI 96750-7931 | |
(808) 322-6100 | |
(808) 322-6117 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 79-7407 Mamalahoa Hwy, Kealakekua, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386819563 | NPI | - | NPPES |
280621 | Other | HI | UNIVERSITY HEALTH ALLIANCE |
197289 | Other | HI | HMA INC |
E063825 | Other | HI | HMSA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 291 (Hawaii) | Primary |
Provider Name | Timothy E Kale |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730387804 PECOS PAC ID: 3779661814 Enrollment ID: I20080415000558 |
Mailing Address | Practice Location Address |
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79-7407 Mamalahoa Hwy, Suite E/f, Kealakekua, HI 96750-7931 Ph: (808) 322-6100 | 79-7407 Mamalahoa Hwy, Suite E/f, Kealakekua, HI 96750-7931 Ph: (808) 322-6100 |
Timothy E Kale, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 79-7407 Mamalahoa Hwy, Suite E-f, Kealakekua, HI 96750 Phone: 808-322-6100 Fax: 808-322-6117 |