Individual
DR. JOHNNY L. NOBLEZADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000
Mailing address
1010 PENSACOLA ST, HONOLULU, HI 96814-2118
(808) 432-2000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006877
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000276584
HMSA BILLING NUMBER
HI
05
—
618275-02
—
HI
Enumeration date
04/08/2006
Last updated
06/02/2021
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