Doctor Name: | KEVIN P MCHUGH |
NPI Number: | 1083868012 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ABO, NCLEC |
License Number: | DIO238 |
Business Practice Address: | 73-5618 Maiau St Suite A201 Kailua Kona, HI - 967402616 |
Business Phone Number: | 8083272020 |
Business Fax Number: | 8083272025 |
Mailing Address: | 73-5618 Maiau St, Suite A201 KAILUA KONA |
State: | HI |
Postal Code: | 967402616 |
Phone Number: | 8083272020 |
Fax Number: | 8083272025 |
NPI Enumeration Date: | 11/04/2008 |
NPI Last Update Date: | 11/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FC0800X |
License Number: | DIO238 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | HI |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Contact Lens |
Taxonomy Definition: | An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician. |