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Organization

FONG EYECARE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RODNEY S.O. FONG O.D. (PRESIDENT)
(808) 593-8939
Entity
Organization

Contact information

Practice address
725 KAPIOLANI BLVD, STE. C-204, HONOLULU, HI 96813-6023
(808) 593-8939
Mailing address
725 KAPIOLANI BLVD, STE. C-204, HONOLULU, HI 96813-6023
(808) 593-8939

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
187
HI
332H00000X
Eyewear Supplier
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1730221953
NPI
Enumeration date
12/29/2008
Last updated
06/11/2010
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