Provider Demographics
NPI:1386819563
Name:TIMOTHY E. KALE OPTOMETRIST, INC
Entity Type:Organization
Organization Name:TIMOTHY E. KALE OPTOMETRIST, INC
Other - Org Name:ALL EYES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:KALE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-322-6100
Mailing Address - Street 1:79-7407 MAMALAHOA HWY
Mailing Address - Street 2:SUITE E/F
Mailing Address - City:KEALAKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750-7931
Mailing Address - Country:US
Mailing Address - Phone:808-322-6100
Mailing Address - Fax:808-322-6117
Practice Address - Street 1:79-7407 MAMALAHOA HWY
Practice Address - Street 2:SUITE E/F
Practice Address - City:KEALAKEKUA
Practice Address - State:HI
Practice Address - Zip Code:96750-7931
Practice Address - Country:US
Practice Address - Phone:808-322-6100
Practice Address - Fax:808-322-6117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-28
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI291152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI280621OtherUNIVERSITY HEALTH ALLIANCE
HI197289OtherHMA INC
HIE063825OtherHMSA