Healthcare Provider Details

I. General information

NPI: 1023436896
Provider Name (Legal Business Name): ADAM SWEENEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2014
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1380 LUSITANA ST STE 708
HONOLULU HI
96813-2443
US

IV. Provider business mailing address

1380 LUSITANA ST STE 708
HONOLULU HI
96813-2443
US

V. Phone/Fax

Practice location:
  • Phone: 808-599-4755
  • Fax: 808-599-5397
Mailing address:
  • Phone: 808-599-4755
  • Fax: 808-599-5397

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0200X
TaxonomyOphthalmic Plastic and Reconstructive Surgery Physician
License NumberMD-20920
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMDRE.ML.60469848
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberR7122
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: