Provider Demographics
NPI:1437582079
Name:HONG, JESSICA (OD)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:HONG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1088 BISHOP ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-3141
Mailing Address - Country:US
Mailing Address - Phone:808-521-3937
Mailing Address - Fax:
Practice Address - Street 1:1088 BISHOP ST
Practice Address - Street 2:SUITE 100
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3141
Practice Address - Country:US
Practice Address - Phone:808-521-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-19
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI778152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist