Organization
DIANE SANTESSON OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE SANTESSON O.D. (PRESIDENT)
(808) 875-4466
Entity
Organization
Contact information
Practice address
380 HUKU LII PL, STE. 107, KIHEI, HI 96753-7043
(808) 875-4466
Mailing address
380 HUKU LII PL, STE. 107, KIHEI, HI 96753-7043
(808) 875-4466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD-472
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000213205
HMSA
HI
01
—
1145
UHA
HI
Enumeration date
01/10/2007
Last updated
08/22/2020
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