NPI 1043734395

Jonathan Jacesko, OD

Practitioner Optometrist Pearl Harbor, HI

Practice location

Address: 480 Central Ave, Pearl Harbor, HI 96860-4908
Phone: (808) 474-4242
Mailing address: 695 Kinkaid Rd, Annapolis, MD 21402-1006

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3024 (CT)

Other Optometrist providers in Hawaii →

Registry record

NPI: 1043734395
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2017
Record last updated: 7 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.