Jivin Gerard Tantisira in Wailuku - Ophthalmology
Jivin Gerard Tantisira - NPI 1104889583
Jivin Gerard Tantisira is a Ophthalmology in Wailuku, Hawaii. Jivin Gerard Tantisira practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Jivin Gerard Tantisira is 1104889583. The last update date is 2023-08-30.
Jivin Gerard Tantisira's current location address is 450 Hookahi St, Wailuku, Hawaii. You can contact this provider via phone number 8088773984 and fax number 8088716498. The mailing address for Jivin Gerard Tantisira is 450 Hookahi St, Wailuku, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jivin Gerard Tantisira |
|---|---|
| Address | 450 Hookahi St, Wailuku, Hawaii |
| Phone Number | 8088773984 |
| Fax Number | 8088716498 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104889583 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2023-08-30 |
Provider Mailing Address Detail
| Address | 450 Hookahi St |
|---|---|
| City | Wailuku |
| State | Hawaii (HI) |
| Post Code | 967931474 |
| Phone Number | 8088773984 |
| Fax Number | 8088716498 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | MD 9427 |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1447298344 | HI | ALOHA EYE CLINIC, LTD. NPI ID | |
| 20992-4 | HI | HMSA | |
| 264901 | HI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jivin Gerard Tantisira by the Centers for Medicare & Medicaid Services?
The Jivin Gerard Tantisira has been issued the NPI (National Provider Identifier) 1104889583. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jivin Gerard Tantisira?
The Jivin Gerard Tantisira is physically situated at 450 Hookahi St, in the city of Wailuku, state of HI, with the postal code 967931474.
What is Jivin Gerard Tantisira's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jivin Gerard Tantisira's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.
When was the Jivin Gerard Tantisira's 1104889583 issued?
The Jivin Gerard Tantisira's 1104889583 was issued on 2006-04-07.
As of what date were the details pertaining to Jivin Gerard Tantisira last refreshed?
The information related to the Jivin Gerard Tantisira, including its address, specialty, and other relevant details, was last updated on 2023-08-30.