Healthcare Provider Details

I. General information

NPI: 1942385984
Provider Name (Legal Business Name): ALOHA LASER VISION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 WARD AVE SUITE 1000
HONOLULU HI
96814-1600
US

IV. Provider business mailing address

1100 WARD AVE SUITE 1000
HONOLULU HI
96814-1600
US

V. Phone/Fax

Practice location:
  • Phone: 808-792-3937
  • Fax: 808-499-4818
Mailing address:
  • Phone: 808-792-3937
  • Fax: 808-499-4818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOD 455
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD 10871
License Number StateHI

VIII. Authorized Official

Name: DR. ALAN FAULKNER
Title or Position: MEMBER
Credential: M.D.
Phone: 808-792-3937