Organization
RONALD R. REYNOLDS, O.D., INC.
Active
Other names
MILILANI VISION SOURCE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD R. REYNOLDS O.D. (PRESIDENT)
(808) 623-2866
Entity
Organization
Contact information
Practice address
95-390 KUAHELANI AVE, MILILANI, HI 96789-1192
(808) 623-2866
(808) 623-7255
Mailing address
95-390 KUAHELANI AVE, MILILANI, HI 96789-1192
(808) 623-2866
(808) 623-7255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0112
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05147901
—
HI
01
—
HMSA
00005884-2
HI
01
—
UHA
57550400020
HI
Enumeration date
04/07/2007
Last updated
05/27/2008
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