Organization
TANCO LLC
Active
Other names
DOSS K. TANNEHILL Ocularist
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOSS K. TANNEHILL BCO (MEMBER MANAGER)
(808) 738-5300
Entity
Organization
Contact information
Practice address
752 17TH AVE, HONOLULU, HI 96816-4102
(808) 738-5300
(808) 738-5304
Mailing address
752 17TH AVE, HONOLULU, HI 96816-4102
(808) 738-5300
(808) 738-5304
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
DIO 97
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00614018
ALOHACARE
HI
05
—
061401-02
—
HI
Enumeration date
01/18/2007
Last updated
08/22/2020
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