Individual
RICK A CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
111 AUPUNI ST STE 101, HILO, HI 96720
(808) 935-2964
(808) 961-6421
Mailing address
111 AUPUNI ST STE 101, HILO, HI 96720-4233
(808) 935-2964
(808) 961-6421
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
DOS-842
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
25206401
—
HI
Enumeration date
04/10/2007
Last updated
04/01/2019
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