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Organization
ALOHA EYE CLINIC, LTD.
Active
Organization
ALOHA EYE CLINIC, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIVIN GERARD TANTISIRA (OWNER)
(808) 877-3984
Entity
Organization
Contact information
Practice address
1300 N HOLOPONO ST STE 109, KIHEI, HI 96753-6946
(808) 877-3984
Mailing address
PO BOX 29960, HONOLULU, HI 96820-2360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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