Provider Demographics
NPI:1831290071
Name:HONDA, JULIE (OD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:HONDA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75-166 KALANI ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-1857
Mailing Address - Country:US
Mailing Address - Phone:808-329-3535
Mailing Address - Fax:888-242-1855
Practice Address - Street 1:75-166 KALANI ST
Practice Address - Street 2:SUITE 102
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1857
Practice Address - Country:US
Practice Address - Phone:808-329-3535
Practice Address - Fax:888-242-1855
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2011-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI99-0255812152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0261090002Medicare NSC
HIT41165Medicare UPIN