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Organization

GARDEN ISLAND EYE CARE

Active
Other names
Garden Island Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DERELYNE GANDIA O.D. (OPTOMETRIST)
(808) 632-2020
Entity
Organization

Contact information

Practice address
4414 KUKUI GROVE STREET, SUITE 101, LIHUE, HI 96766
(808) 632-2020
Mailing address
4414 KUKUI GROVE STREET, SUITE 101, LIHUE, HI 96766
(808) 632-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD674
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
613001-01
HI
Enumeration date
12/28/2010
Last updated
10/18/2017
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