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Zack Zimmer
Optician in Honolulu, Hawaii
NPI 1043621519

Zack Zimmer is a Optician based in Honolulu, HI and is specialized in Optician. Zack Zimmer practices in Honolulu, HI. The NPI Number for Zack Zimmer is 1043621519 and holds a License No. DIO-397 (Hawaii).

The current practice location address for Zack Zimmer is 1619 Lusitana St, Honolulu, HI and can be reached out via phone at 808-295-7311. You can also correspond with Zack Zimmer through the mailing address at PO BOX 23273, HONOLULU, HI - 96823-3273 (mailing address contact number: 808-295-7311).

Location: 1619 Lusitana St, Honolulu, HI, 96823-3273
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Provider Profile Details
NPI Number
1043621519
Provider Name
Zack Zimmer
Credential
Provider Entity Type
Individual
Gender
Male
Address
1619 Lusitana St, Honolulu, HI, 96823-3273
Phone Number
808-295-7311
Fax Number
Provider Enumeration Date
05/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W73879484-01 01 HI STATE TAX ID
institution
Provider Business Practice Location Address Details
Address
1619 Lusitana St
City
State
Zip
96813-6621
Phone Number
808-295-7311
Fax Number
person
Provider Business Mailing Address Details
Address
1619 Lusitana St
City
State
Zip
96813-6621
Phone Number
808-295-7311
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
DIO-397 (Hawaii)
Definition
Definition to come...
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