Provider Demographics
NPI:1679721856
Name:DUARTE-HERNANDEZ, MEALIINANI CHRISTINA (OD)
Entity type:Individual
Prefix:DR
First Name:MEALIINANI
Middle Name:CHRISTINA
Last Name:DUARTE-HERNANDEZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:MEALIINANI
Other - Middle Name:CHRISTINA
Other - Last Name:DUARTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:PO BOX 707
Mailing Address - Street 2:
Mailing Address - City:KEALAKEKUA
Mailing Address - State:HI
Mailing Address - Zip Code:96750-0707
Mailing Address - Country:US
Mailing Address - Phone:808-933-4777
Mailing Address - Fax:877-983-4777
Practice Address - Street 1:305 WAILUKU DR STE 4
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2488
Practice Address - Country:US
Practice Address - Phone:808-933-4777
Practice Address - Fax:877-983-4777
Is Sole Proprietor?:No
Enumeration Date:2008-08-31
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4309152W00000X
HIOD-691152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist