Organization
TIMOTHY H. MOON, O.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY HYUNCHOL MOON O.D. (PRESIDENT)
(808) 946-7700
Entity
Organization
Contact information
Practice address
1441 KAPIOLANI BLVD, 312, HONOLULU, HI 96814-4402
(808) 946-7700
(808) 946-7710
Mailing address
1441 KAPIOLANI BLVD, 312, HONOLULU, HI 96814-4402
(808) 946-7700
(808) 946-7710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD450
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49451801
—
HI
01
—
A20813-0
HMSA
HI
01
—
A20813-0
HMSA QUEST
—
Enumeration date
03/02/2012
Last updated
03/02/2012
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