Provider Demographics
NPI:1225130818
Name:MYERS, CHET ALAN (OD)
Entity Type:Individual
Prefix:DR
First Name:CHET
Middle Name:ALAN
Last Name:MYERS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2964 EWALU ST
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-1377
Mailing Address - Country:US
Mailing Address - Phone:808-245-2772
Mailing Address - Fax:808-245-4541
Practice Address - Street 1:2964 EWALU ST
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1377
Practice Address - Country:US
Practice Address - Phone:808-245-2772
Practice Address - Fax:808-245-4541
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD489152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00C0223168OtherHMSA
HI08912102Medicaid
HI103073Medicare PIN
HI08912102Medicaid