Individual
DR. CARLOS A. OMPHROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
95-720 LANIKUHANA AVE, SUITE 110, MILILANI, HI 96789-2985
(808) 625-5577
(808) 625-1221
Mailing address
95-720 LANIKUHANA AVE, SUITE 110, MILILANI, HI 96789-2985
(808) 625-5577
(808) 625-1221
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD4936
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01649901
—
HI
01
—
C01766-9
HMSA
HI
Enumeration date
07/31/2006
Last updated
06/18/2009
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