Dr Colleen Mariko Ichiyama-kong, OD | |
2049 Wells St, Suite #1, Wailuku, HI 96793-2239 | |
(808) 244-8034 | |
(808) 244-8035 |
Full Name | Dr Colleen Mariko Ichiyama-kong |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 27 Years |
Location | 2049 Wells St, Wailuku, Hawaii |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881631422 | NPI | - | NPPES |
50181802 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD478 (Hawaii) | Primary |
Provider Name | Premier Vision Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134274590 PECOS PAC ID: 7517858848 Enrollment ID: O20040324000572 |
Mailing Address | Practice Location Address |
---|---|
Dr Colleen Mariko Ichiyama-kong, OD 2049 Wells St, Suite #1, Wailuku, HI 96793-2239 Ph: (808) 244-8034 | Dr Colleen Mariko Ichiyama-kong, OD 2049 Wells St, Suite #1, Wailuku, HI 96793-2239 Ph: (808) 244-8034 |
Dr. Nicole Pacer, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 450 Hookahi St, Wailuku, HI 96793 Phone: 808-877-3984 | |
Kim H. Kawakami, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 80 Mahalani St, Wailuku, HI 96793 Phone: 808-243-6000 | |
Premier Vision Llc Optometrist Medicare: Medicare Enrolled Practice Location: 2049 Wells St, Suite #1, Wailuku, HI 96793 Phone: 808-244-8034 Fax: 808-244-8035 | |
Dr. Evone K. Wong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 80 Mahalani St, Wailuku, HI 96793 Phone: 808-243-6000 | |
Aloha Eye Clinic, Ltd. Optometrist Medicare: Medicare Enrolled Practice Location: 450 Hookahi St, Wailuku, HI 96793 Phone: 808-877-3984 Fax: 808-871-6498 | |
Kim E. T. Ginoza, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 80 Mahalani St, Wailuku, HI 96793 Phone: 808-243-6000 | |
Dr. John James Gillmore, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1787 Wili Pa Loop Ste 8, Wailuku, HI 96793 Phone: 808-242-8988 |