Provider Demographics
NPI:1487183620
Name:SEABRIGHT OPTOMETRY
Entity Type:Organization
Organization Name:SEABRIGHT OPTOMETRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KRYSTA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LANDAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-877-9616
Mailing Address - Street 1:PO BOX 330831
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96733-0831
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:540 HALEAKALA HWY
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-2302
Practice Address - Country:US
Practice Address - Phone:808-877-9616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-10
Last Update Date:2017-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI852152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty