Provider Demographics
NPI:1437196466
Name:EWING, CHRISTINE M (OD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:M
Last Name:EWING
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CHRISTINE
Other - Middle Name:A
Other - Last Name:MURABAYASHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:94-300 FARRINGTON HWY STE E02
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-2656
Mailing Address - Country:US
Mailing Address - Phone:808-677-2333
Mailing Address - Fax:808-677-2313
Practice Address - Street 1:94-300 FARRINGTON HWY STE E02
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-2656
Practice Address - Country:US
Practice Address - Phone:808-677-2333
Practice Address - Fax:808-677-2313
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD553152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI57411201Medicaid
HIU86663Medicare UPIN
HI100462Medicare ID - Type Unspecified
HI100462Medicare PIN