Provider Demographics
NPI:1942045463
Name:CEZAR, CHRISTINE (LDO)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:CEZAR
Suffix:
Gender:F
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-595 KUPUOHI ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-5382
Mailing Address - Country:US
Mailing Address - Phone:808-688-0700
Mailing Address - Fax:808-688-1615
Practice Address - Street 1:94-595 KUPUOHI ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-5382
Practice Address - Country:US
Practice Address - Phone:808-688-0700
Practice Address - Fax:808-688-1615
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician