Individual
DR. RAE REIKO NAGAHIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
840 WAINEE ST, STE 204, LAHAINA, HI 96761-2319
(808) 667-9556
(808) 667-9557
Mailing address
840 WAINEE ST, STE 204, LAHAINA, HI 96761-2319
(808) 667-9556
(808) 667-9557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
207
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01766501
—
HI
01
—
5209680001
DMERC
HI
Enumeration date
09/24/2006
Last updated
08/13/2009
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