Healthcare Provider Details

I. General information

NPI: 1043188022
Provider Name (Legal Business Name): PROJECT VISION HAWAII
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 N VINEYARD BLVD
HONOLULU HI
96817-3590
US

IV. Provider business mailing address

810 N VINEYARD BLVD
HONOLULU HI
96817-3590
US

V. Phone/Fax

Practice location:
  • Phone: 808-201-3937
  • Fax: 833-941-2390
Mailing address:
  • Phone: 808-201-3937
  • Fax: 833-941-2390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code156F00000X
TaxonomyTechnician/Technologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code156FX1201X
TaxonomyOptometric Assistant Technician
License Number
License Number State

VIII. Authorized Official

Name: RENAE D MATHSON
Title or Position: DIRECTOR OF BUSINESS DEVELOPMENT
Credential:
Phone: 808-430-0388