ZACK ZIMMER (NPI# 1043621519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043621519 |
| Entity Type | Individual |
| Full Name | ZACK ZIMMER |
| Practice Address |
1619 Lusitana St Honolulu HI 96813-6621 |
| Mailing Address |
Po Box 23273 Honolulu HI 96823-3273 |
| Practice Telephone | 8082957311 |
| Mailing Telephone | 8082957311 |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2014-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DIO-397 | HI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | STATE TAX ID | W73879484-01 | 01 |
| Street Address |
1619 LUSITANA ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96813-6621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902322 | Kawehi Hanohano-navarro | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suit, Honolulu, HI 96813 | 2020-11-03 |
| 1659971489 | University Clinical Education & Research Associates | Clinical Medical Laboratory | 651 Ilalo Street, Bioscience Bldg Rm 333, Honolulu, HI 96813 | 2020-10-30 |
| 1700490919 | Tiana Taylor Williams | Behavior Technician | 7 Waterfront Plaza, 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2020-09-04 |
| 1134761109 | Florence Kwitonda | Behavior Technician | 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-10-11 |
| 1629629373 | Alyssa Niel Gethings | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd. Suite, Honolulu, HI 96813 | 2019-09-24 |
| 1851949069 | Miho Camarata | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd, Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1326696519 | Chanelle Ashley Ramos | Behavior Technician | Attn: Behavioral Health Works 500 Ala Moana Blvd., Suite 400, Honolulu, HI 96813 | 2019-08-30 |
| 1568022580 | Fataly Willy | Behavioral Analyst | 500 Alamoana Blvd #7-400, Honolulu, HI 96813 | 2019-06-20 |
| 1538624069 | Galaxy Urgent Care Inc | Internal Medicine | 50 South Beretania St, C210 B, Honolulu, HI 96813 | 2019-02-08 |
| 1376010124 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 400 Keawe Street, Suite 100, Honolulu, HI 96813 | 2018-10-30 |
| Find all providers in zip 96813 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969313 | Sarah Kim | Technician/Technologist | 1440 Kapiolani Blvd Ste 1212, Honolulu, HI 96814-3618 | 2020-07-16 |
| 1720463607 | Mark Babin | Technician/Technologist | 1450 Ala Moana Blvd Ste 1226, Honolulu, HI 96814-4610 | 2015-07-21 |
| 1306258520 | Jeffrey Yip | Technician/Technologist | 1600 Kapiolani Blvd Ste 623, Honolulu, HI 96814-3802 | 2014-05-22 |
| 1992055321 | Ezer, LLC | Technician/Technologist | 655 Keeaumoku Street, #110 A, Honolulu, HI 96814 | 2012-09-13 |
| 1124383872 | Su Yon Kim | Technician/Technologist | 655 Keeaumoku St, #110 A, Honolulu, HI 96814-3008 | 2012-07-09 |
| 1548544497 | Cds Inc. | Technician/Technologist | 737 Bishop St, Suite 110, Honolulu, HI 96813-3201 | 2011-10-10 |
| 1528200060 | Kelvin Yoshito Yamamoto | Technician/Technologist | 193 S Hotel St, Honolulu, HI 96813-2805 | 2009-03-30 |
| 1124292636 | Keith Joji Yamamoto | Technician/Technologist | 1020 Piikoi St, Honolulu, HI 96814-1924 | 2008-04-15 |
| 1427278522 | Candido Jorge Cuan | Technician/Technologist | 925-f Maunakea St, Honolulu, HI 96817-5166 | 2007-04-30 |
| 1881712651 | Robert F. Cooke | Technician/Technologist | 737 Bishop St Ste 110, Honolulu, HI 96813-3202 | 2007-03-27 |
| Find all providers in HONOLULU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.