Individual
DANIEL A DEBACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1292 WAIANUENUE AVE, HILO, HI 96720-1228
(808) 934-4000
Mailing address
1292 WAIANUENUE AVE, HILO, HI 96720-1228
(808) 934-4000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD-874
HI
152W00000X
Optometrist
OPT12499TPL
CA
Other
Enumeration date
09/28/2006
Last updated
05/12/2021
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