Provider Demographics
NPI:1629856216
Name:SEARL, PETER CLAYTON (OD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:CLAYTON
Last Name:SEARL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:CLAY
Other - Middle Name:
Other - Last Name:SEARL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:2101 NUUANU AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1765
Mailing Address - Country:US
Mailing Address - Phone:808-284-3915
Mailing Address - Fax:
Practice Address - Street 1:2101 NUUANU AVE APT 102
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1765
Practice Address - Country:US
Practice Address - Phone:808-284-3915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD-586152WS0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WS0006XEye and Vision Services ProvidersOptometristSports Vision