Traci L. Schmalle, O.d., LLC

NPI #1720195399 in Pearl City, Hawaii

Provider Information

NPI Number: 1720195399
Entity Type: Organization
Organization Name: Traci L. Schmalle, O.d., LLC
Primary Specialty: Optometrist
Enumeration Date: Aug 23, 2006
Last Updated: Aug 24, 2012

Practice Location

Address: 1131 KUALA ST
Address 2: C/O THE VISION CENTER
City: Pearl City
State: Hawaii
ZIP Code: 96782
Phone: (808) 455-5650

Authorized Official

Name: TRACI L. S. SCHMALLE-JACOBS, O.D.
Title: OWNER/MANAGER
Phone: (808) 455-5650

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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