Healthcare Provider Details

I. General information

NPI: 1134318082
Provider Name (Legal Business Name): PERCIVAL CHEE, M.D., F.A.C.S., INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2007
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 S BERETANIA ST SUITE C116
HONOLULU HI
96813-2208
US

IV. Provider business mailing address

50 S BERETANIA ST SUITE C116
HONOLULU HI
96813-2208
US

V. Phone/Fax

Practice location:
  • Phone: 808-521-6578
  • Fax: 808-585-6922
Mailing address:
  • Phone: 808-521-6578
  • Fax: 808-585-6922

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number1489
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1489
License Number StateHI

VIII. Authorized Official

Name: DR. PERCIVAL H.Y. CHEE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 808-521-6578