Provider Demographics
NPI:1982661161
Name:CLASON, STEPHEN E (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:E
Last Name:CLASON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:615 PIIKOI ST
Mailing Address - Street 2:#1802
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3116
Mailing Address - Country:US
Mailing Address - Phone:808-591-9393
Mailing Address - Fax:808-591-9373
Practice Address - Street 1:615 PIIKOI ST
Practice Address - Street 2:#1802
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3116
Practice Address - Country:US
Practice Address - Phone:808-591-9393
Practice Address - Fax:808-591-9373
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-30
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI3455207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00865601Medicaid
HI0000BDJHRMedicare ID - Type Unspecified
HI0426130001Medicare NSC
HI00865601Medicaid