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Dr. Jivin Gerard Tantisira, MD
Ophthalmology Physician in Wailuku, Hawaii
NPI 1104889583

Jivin Gerard Tantisira is a Ophthalmology Physician based in Wailuku, HI. Jivin Gerard Tantisira practices in Wailuku, HI and has the professional credentials of MD. The NPI Number for Jivin Gerard Tantisira is 1104889583 and holds a License No. MD 9427 (Hawaii).

The current practice location address for Jivin Gerard Tantisira is 450 Hookahi St, Wailuku, HI and can be reached out via phone at 808-877-3984 and via fax at 808-871-6498. You can also correspond with Jivin Gerard Tantisira through the mailing address at 450 HOOKAHI ST, WAILUKU, HI - 96793-1474 (mailing address contact number: 808-877-3984).

Location: 450 Hookahi St, Wailuku, HI, 96793-1474
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104889583
Provider Name
Jivin Gerard Tantisira
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
450 Hookahi St, Wailuku, HI, 96793-1474
Phone Number
808-877-3984
Fax Number
808-871-6498
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447298344 01 HI ALOHA EYE CLINIC, LTD. NPI ID
20992-4 01 HI HMSA
00264901 05 HI
institution
Provider Business Practice Location Address Details
Address
450 Hookahi St
City
Wailuku
State
Hawaii
Zip
96793-1447
Phone Number
808-877-3984
Fax Number
808-871-6498
person
Provider Business Mailing Address Details
Address
450 Hookahi St
City
Wailuku
State
Hawaii
Zip
96793-1474
Phone Number
808-877-3984
Fax Number
808-871-6498
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
MD 9427 (Hawaii)
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 includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
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