Organization
AAFES OPTOMETRY (KADENA)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLEN HIKIDA OD (OPTOMETRIST)
011810989592100
Entity
Organization
Contact information
Practice address
3911 S WALTON WALKER BLVD, FA-C/OR, DALLAS, TX 75236-1509
(800) 527-6790
Mailing address
AAFES OPTOMETRY, OKINAWA EXCHANGE, UNIT 35163, APO, AP 96378-5163
0011810989592100
011810989592100
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154531861
DOCTOR'S INDIVIDUAL NPI
—
Enumeration date
11/05/2009
Last updated
11/05/2009
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