Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 152W00000X | Optometrist | 406 | HI |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 406 | HI |
N | 152WX0102X | Occupational Vision | 406 | HI |
NPI | 1306052923 |
---|---|
Provider Name | Dr. David S. Hironaga |
First Address | Honolulu, HI 96813-3301 |
Second Address | Honolulu, HI 96813-3301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U59491 | (02) | HI |