Healthcare Provider Details
I. General information
NPI: 1124282355
Provider Name (Legal Business Name): ALOHA VISION CONSULTANTS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2008
Last Update Date: 03/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1029 KAPAHULU AVE 502
HONOLULU HI
96816-0000
US
IV. Provider business mailing address
1029 KAPAHULU AVE # 502
HONOLULU HI
96816-1332
US
V. Phone/Fax
- Phone: 808-782-1861
- Fax: 808-218-7830
- Phone: 808-782-1861
- Fax: 808-218-7830
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS0132X |
| Taxonomy | Ophthalmologic Surgery Clinic/Center |
| License Number | MD 13332 |
| License Number State | HI |
VIII. Authorized Official
Name: DR.
CARLTON
K
YUEN
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 808-782-1861