Ede, Roger Christian

Ede, Roger Christian is an sole proprietor health care provider with primary practice located at 377 Keahole St , Honolulu HI 96825-3405. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ede, Roger Christian can be contacted via phone (808) 396-6311.

Contact Information

Primary practice address
377 Keahole St Honolulu HI 96825-3405
Phone: (808) 396-6311
Fax: (808) 395-2448
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 103 Hawaii

Profile Details

NPI number 1407838162
LBN Legal business name Ede, Roger Christian
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2005
Last updated Sep 19th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407838162 NPPES
Hawaii Other 0406020005 MEDICARE SUPPLIER
Hawaii Other 0406020001 MEDICARE SUPPLIER
Hawaii Other 0406020002 MEDICARE SUPPLIER

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