Dr Glenn Paul Belisle, OD | |
4-901 Kuhio Hwy, Ste. B, Kapaa, HI 96746-1576 | |
(808) 822-3733 | |
(808) 822-7355 |
Full Name | Dr Glenn Paul Belisle |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 4-901 Kuhio Hwy, Kapaa, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063516755 | NPI | - | NPPES |
01770901 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OD181 (Hawaii) | Primary |
Provider Name | Kauai Optometric Center Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720377195 PECOS PAC ID: 9133306624 Enrollment ID: O20110609000564 |
Mailing Address | Practice Location Address |
---|---|
Dr Glenn Paul Belisle, OD 4-901 Kuhio Hwy, Ste. B, Kapaa, HI 96746-1576 Ph: (808) 822-3733 | Dr Glenn Paul Belisle, OD 4-901 Kuhio Hwy, Ste. B, Kapaa, HI 96746-1576 Ph: (808) 822-3733 |
Dr. Amanda A Antonino, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4-901 Kuhio Hwy, Ste. B, Kapaa, HI 96746 Phone: 808-822-3733 Fax: 808-822-7355 | |
Nicholas Klauba I, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4-901 Kuhio Hwy Ste B, Kapaa, HI 96746 Phone: 808-822-3733 Fax: 808-822-7355 | |
Kauai Optometric Center Llc Optometrist Medicare: Medicare Enrolled Practice Location: 4-901 Kuhio Hwy, Ste. B, Kapaa, HI 96746 Phone: 808-822-3733 Fax: 808-822-7355 | |
Kauai Optometric Center Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4-901 Kuhio Hwy, Ste B, Kapaa, HI 96746 Phone: 808-822-3733 Fax: 808-822-7355 |