Eye Q Hawaii, Llc | |
1248 Kinoole St Ste 103, Hilo, HI 96720-4171 | |
(808) 896-2540 | |
Not Available |
Full Name | Eye Q Hawaii, Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1248 Kinoole St Ste 103, Hilo, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194393629 | NPI | - | NPPES |
A0218824 | Other | HI | HMSA |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Caron K Fernandez |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962595116 PECOS PAC ID: 6103812649 Enrollment ID: I20040421001198 |
Mailing Address | Practice Location Address |
---|---|
Eye Q Hawaii, Llc 1248 Kinoole St Ste 103, Hilo, HI 96720-4171 Ph: (808) 896-2540 | Eye Q Hawaii, Llc 1248 Kinoole St Ste 103, Hilo, HI 96720-4171 Ph: (808) 896-2540 |
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