Healthcare Provider Details

I. General information

NPI: 1295789865
Provider Name (Legal Business Name): OHANA EYE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 02/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S BERETANIA ST SUITE 900
HONOLULU HI
96814-1870
US

IV. Provider business mailing address

1401 S BERETANIA ST SUITE 900
HONOLULU HI
96814-1870
US

V. Phone/Fax

Practice location:
  • Phone: 808-942-5800
  • Fax: 808-949-4553
Mailing address:
  • Phone: 808-942-5800
  • Fax: 808-949-4553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberMD9013
License Number StateHI

VIII. Authorized Official

Name: DR. DOUGLAS FREEMA CHU
Title or Position: PRESIDENT/OWNER
Credential: M.D.
Phone: 808-942-5800