Provider Demographics
NPI:1568017770
Name:EYE PLACE MOLOKAI
Entity Type:Organization
Organization Name:EYE PLACE MOLOKAI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:S
Authorized Official - Last Name:ALMARALES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-553-4440
Mailing Address - Street 1:PO BOX 482189
Mailing Address - Street 2:
Mailing Address - City:KAUNAKAKAI
Mailing Address - State:HI
Mailing Address - Zip Code:96748-2189
Mailing Address - Country:US
Mailing Address - Phone:808-553-4440
Mailing Address - Fax:812-379-9904
Practice Address - Street 1:2 KAMOI ST
Practice Address - Street 2:UNIT 200
Practice Address - City:KAUNAKAKAI
Practice Address - State:HI
Practice Address - Zip Code:96748
Practice Address - Country:US
Practice Address - Phone:808-553-4440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty