Provider Demographics
NPI:1073659959
Name:EYES PLUS INC
Entity Type:Organization
Organization Name:EYES PLUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:LYMAN
Authorized Official - Last Name:MAKINI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-674-0744
Mailing Address - Street 1:590 FARRINGTON HWY
Mailing Address - Street 2:220
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2009
Mailing Address - Country:US
Mailing Address - Phone:808-674-0744
Mailing Address - Fax:808-674-0977
Practice Address - Street 1:590 FARRINGTON HWY
Practice Address - Street 2:220
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2009
Practice Address - Country:US
Practice Address - Phone:808-674-0744
Practice Address - Fax:808-674-0977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI0D253152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI02509001Medicaid
HI02509001Medicaid
HIT41206Medicare UPIN