Provider Demographics
NPI:1598824369
Name:GUILD, JEFFREY A (OD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:A
Last Name:GUILD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 LONO AVE
Mailing Address - Street 2:SUITE 260
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-1633
Mailing Address - Country:US
Mailing Address - Phone:808-357-0451
Mailing Address - Fax:
Practice Address - Street 1:33 LONO AVE
Practice Address - Street 2:SUITE 260
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-1633
Practice Address - Country:US
Practice Address - Phone:808-357-0451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12075152WC0802X
HI505152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management