Provider Demographics
NPI:1033355466
Name:DR. CHRISTOPHER SWEEN OPTOMETRIST INC
Entity Type:Organization
Organization Name:DR. CHRISTOPHER SWEEN OPTOMETRIST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SWEEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-673-3652
Mailing Address - Street 1:4589 KAPOLEI PKWY
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1879
Mailing Address - Country:US
Mailing Address - Phone:808-674-3913
Mailing Address - Fax:808-674-3914
Practice Address - Street 1:4589 KAPOLEI PKWY
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1879
Practice Address - Country:US
Practice Address - Phone:808-674-3913
Practice Address - Fax:808-674-3914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-07
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI656152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1821126137OtherINDIVIDUAL NPI