Individual
DR. TRACIE M INOUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD571
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477847358
PRACTICE NPI NUMBER
HI
05
—
51809501
—
HI
01
—
H55261
PROVIDER TRANSACTION ACCOUNT NUMBER (PTAN)
HI
Enumeration date
12/16/2005
Last updated
06/27/2011
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