Provider Demographics
NPI:1073736153
Name:ARTHUR W. H. LOO, O.D., INC.
Entity Type:Organization
Organization Name:ARTHUR W. H. LOO, O.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JERE
Authorized Official - Middle Name:H E
Authorized Official - Last Name:LOO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-245-8564
Mailing Address - Street 1:3-2600 KAUMUALII HWY
Mailing Address - Street 2:SUITE #1508
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-2040
Mailing Address - Country:US
Mailing Address - Phone:808-245-8564
Mailing Address - Fax:808-245-8565
Practice Address - Street 1:3-2600 KAUMUALII HWY
Practice Address - Street 2:SUITE 1508
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-2040
Practice Address - Country:US
Practice Address - Phone:808-245-8564
Practice Address - Fax:808-245-8565
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARTHUR W. H. LOO, O.D., INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD-254152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI580929Medicaid
HI025937-01Medicaid
HI0000PGBGXMedicare ID - Type Unspecified
HI025937-01Medicaid