Individual
DR. GLENN PAUL BELISLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4-901 KUHIO HWY, STE. B, KAPAA, HI 96746-1576
(808) 822-3733
(808) 822-7355
Mailing address
4-901 KUHIO HWY, STE. B, KAPAA, HI 96746-1576
(808) 822-3733
(808) 822-7355
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD181
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01770901
—
HI
Enumeration date
09/12/2006
Last updated
11/12/2009
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