Provider Demographics
NPI:1497830848
Name:THAM, JANET J (OD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:J
Last Name:THAM
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:MSC 61380 PO BOX 1300
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96807-1300
Mailing Address - Country:US
Mailing Address - Phone:808-373-4522
Mailing Address - Fax:808-373-3299
Practice Address - Street 1:850 W HIND DR STE 212
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96821-1845
Practice Address - Country:US
Practice Address - Phone:808-373-4522
Practice Address - Fax:808-373-3299
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1817152W00000X
HIOD-813152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist