Organization
ISLAND EYE CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN H SENFT M.D. (PRESIDENT/OWNER)
(808) 329-3937
Entity
Organization
Contact information
Practice address
75-1028 HENRY ST STE 200, KAILUA KONA, HI 96740-1693
(808) 329-3937
(808) 329-3937
Mailing address
75-1028 HENRY ST STE 200, KAILUA KONA, HI 96740-1693
(808) 329-3937
(808) 329-3937
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD8824
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H101225
MEDICARE GROUP
HI
Enumeration date
10/25/2007
Last updated
11/29/2007
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