# DR. RICK A. CARPENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669969093
- **Authorized official:** DAVID S MATHERS (OFFICE MANAGER)
- **Authorized official phone:** (808) 935-2964

## Contact information

- **Practice address:** 111 AUPUNI ST STE 101, HILO, HI 96720-4233
- **Practice address phone:** (808) 935-2964
- **Practice address fax:** (808) 961-6421
- **Mailing address:** 111 AUPUNI ST STE 101, HILO, HI 96720-4233
- **Mailing address phone:** (808) 935-2964
- **Mailing address fax:** (808) 961-6421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | DOS-842 | HI | Yes |

## Other

- **Enumeration date:** 04/20/2018
- **Last updated:** 04/20/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 215846 | — | HI |