| |
1620 Ala Moana Blvd, Suite 500, Honolulu, HI 96815-1437 | |
(808) 955-0255 | |
(808) 955-4155 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1620 Ala Moana Blvd, Honolulu, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689003279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Paula E Young |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1326200320 PECOS PAC ID: 0042518607 Enrollment ID: I20160414001114 |
Provider Name | Nathan Aschel Jordan |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1104264514 PECOS PAC ID: 9739409277 Enrollment ID: I20210922003267 |
Mailing Address | Practice Location Address |
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1620 Ala Moana Blvd, Suite 500, Honolulu, HI 96815-1437 Ph: (808) 955-0255 | 1620 Ala Moana Blvd, Suite 500, Honolulu, HI 96815-1437 Ph: (808) 955-0255 |