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FONG EYECARE CENTER LLC NPI 1902042757


NPI Information

NPI: 1902042757
Provider Name: FONG EYECARE CENTER, LLC
Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 12D2143038

Address:
725 KAPIOLANI BLVD
STE. C-204
HONOLULU, HI
ZIP 96813
Phone: (808) 593-8939
Get Directions

FONG EYECARE CENTER, LLC is an optometrist in Honolulu, HI. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. FONG EYECARE CENTER, LLC NPI is 1902042757. The provider is registered as an organization entity type.

The provider's business location address is:

725 KAPIOLANI BLVD
STE. C-204
HONOLULU, HI
ZIP 96813-023
Phone: (808) 593-8939

The provider's authorized official is Rodney S.o. Fong .
The authorized official title is President and has the following contact phone number (808) 593-8939.

The CLIA number assigned to this NPI record is 12D2143038 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2008 and was last updated on 6/11/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierHAWAIINo
2152W00000XOptometrist187HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11730221953OTHERNPI
253602MEDICARE UPINHAWAII
36214550001MEDICARE NSCHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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