Healthcare Provider Details

I. General information

NPI: 1558547901
Provider Name (Legal Business Name): CENTER FOR SIGHT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2008
Last Update Date: 01/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 LONO AVE STE. 260
KAHULUI HI
96732-1633
US

IV. Provider business mailing address

1620 ALA MOANA BLVD STE. 500
HONOLULU HI
96815-1437
US

V. Phone/Fax

Practice location:
  • Phone: 808-955-0255
  • Fax: 808-955-4155
Mailing address:
  • Phone: 808-955-0255
  • Fax: 808-955-4155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License NumberMD10612
License Number StateHI

VIII. Authorized Official

Name: MR. MICHAEL D BENNETT
Title or Position: OWNER/PHYSICIAN
Credential: M.D.
Phone: 808-955-0255