Provider Demographics
NPI:1174665087
Name:STEYER, LYNN CHARLES (ABOC NCLC OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:LYNN
Middle Name:CHARLES
Last Name:STEYER
Suffix:
Gender:M
Credentials:ABOC NCLC OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 ULUNIU ST
Mailing Address - Street 2:KAILUA OPTICAL # 104
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2523
Mailing Address - Country:US
Mailing Address - Phone:808-262-6191
Mailing Address - Fax:808-262-6191
Practice Address - Street 1:315 ULUNIU ST
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2523
Practice Address - Country:US
Practice Address - Phone:808-262-6191
Practice Address - Fax:808-262-6191
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDIO-236332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier