Healthcare Provider Details

I. General information

NPI: 1699375188
Provider Name (Legal Business Name): 10 EYE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2020
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68-1845 WAIKOLOA RD STE 218
WAIKOLOA HI
96738-5584
US

IV. Provider business mailing address

PO BOX 383147
WAIKOLOA HI
96738-3147
US

V. Phone/Fax

Practice location:
  • Phone: 808-883-3767
  • Fax: 808-319-2510
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: KHOA NGUYEN
Title or Position: OWNER
Credential: OD
Phone: 808-329-9308