Individual
DR. CARON K FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1248 KINOOLE ST STE 103, HILO, HI 96720-4171
(808) 464-4468
(808) 969-1924
Mailing address
1248 KINOOLE ST STE 1031248, HILO, HI 96720-4171
(808) 464-4468
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD-519
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0218824
HMSA
HI
Enumeration date
10/02/2006
Last updated
10/29/2021
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