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Organization
HAWAII CATARACT AND LASER INSTITUTE HILO LLC
Active
Organization
HAWAII CATARACT AND LASER INSTITUTE HILO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D. BENNETT MD (PRESIDENT)
(808) 955-0255
Entity
Organization
Contact information
Practice address
126 PUUHONU WAY, HILO, HI 96720-2088
(808) 955-0255
(808) 955-4155
Mailing address
1620 ALA MOANA BLVD, SUITE 500, HONOLULU, HI 96815-1437
(808) 955-0255
(808) 955-4155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/29/2012
Last updated
03/20/2020
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