Organization
HALE MAKA IKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D. BENNETT MD (PRESIDENT)
(808) 955-0255
Entity
Organization
Contact information
Practice address
1620 ALA MOANA BLVD, SUITE 500, HONOLULU, HI 96815-1437
(808) 955-0255
(808) 955-4155
Mailing address
PO BOX 1300, MAILCODE 61289, HONOLULU, HI 96807-1300
(808) 955-0255
(808) 955-4155
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
Other
Enumeration date
03/02/2012
Last updated
03/20/2020
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