Basic Information
Provider Information
NPI: 1124282355
EntityType: 2
ReplacementNPI:  
OrganizationName: ALOHA VISION CONSULTANTS INC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1029 KAPAHULU AVE # 502
Address2:  
City: HONOLULU
State: HI
PostalCode: 968161332
CountryCode: US
TelephoneNumber: 8087821861
FaxNumber: 8082187830
Practice Location
Address1: 1029 KAPAHULU AVE 502
Address2:  
City: HONOLULU
State: HI
PostalCode: 968160000
CountryCode: US
TelephoneNumber: 8087821861
FaxNumber: 8082187830
Other Information
ProviderEnumerationDate: 07/16/2008
LastUpdateDate: 03/19/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: YUEN
AuthorizedOfficialFirstName: CARLTON
AuthorizedOfficialMiddleName: K
AuthorizedOfficialTitleorPosition: PHYSICIAN
AuthorizedOfficialTelephone: 8087821861
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: M.D.
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QS0132XMD 13332HIY Ambulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery

No ID Information.


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