Organization
TRACI L. SCHMALLE, O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI L. S. SCHMALLE-JACOBS O.D. (OWNER/MANAGER)
(808) 455-5650
Entity
Organization
Contact information
Practice address
1131 KUALA ST, C/O THE VISION CENTER, PEARL CITY, HI 96782
(808) 455-5650
(808) 455-5625
Mailing address
94-348 LELEAKA ST, MILILANI, HI 96789-2213
(808) 455-5650
(808) 455-5625
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
594
HI
Other
Enumeration date
08/23/2006
Last updated
08/24/2012
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