Organization
EYE CARE CENTER OF KAUAI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY L LEE MD (MEMBER)
(808) 246-0051
Entity
Organization
Contact information
Practice address
4366 KUKUI GROVE ST, SUITE 101, LIHUE, HI 96766-2006
(808) 246-0051
(808) 246-4816
Mailing address
4366 KUKUI GROVE ST, SUITE 101, LIHUE, HI 96766-2006
(808) 246-0051
(808) 246-4816
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD601
HI
156FX1100X
Ophthalmic Technician/Technologist
MD5846
HI
Other
Enumeration date
04/06/2007
Last updated
11/15/2007
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