Daniel A Debaca, OD | |
1292 Waianuenue Ave, Hilo, HI 96720-1228 | |
(808) 934-4000 | |
Not Available |
Full Name | Daniel A Debaca |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 21 Years |
Location | 1292 Waianuenue Ave, Hilo, Hawaii |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568554640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT12499TPL (California) | Secondary |
152W00000X | Optometrist | OD-874 (Hawaii) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hawaii Permanente Medical Group Inc | 7618880667 | 578 |
Provider Name | Hawaii Permanente Medical Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710945969 PECOS PAC ID: 7618880667 Enrollment ID: O20031106000625 |
Mailing Address | Practice Location Address |
---|---|
Daniel A Debaca, OD 1292 Waianuenue Ave, Hilo, HI 96720-1228 Ph: (808) 934-4000 | Daniel A Debaca, OD 1292 Waianuenue Ave, Hilo, HI 96720-1228 Ph: (808) 934-4000 |
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