Provider Demographics
NPI:1083741540
Name:NEW VISIONS
Entity Type:Organization
Organization Name:NEW VISIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPTICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:E
Authorized Official - Last Name:ACKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LDO
Authorized Official - Phone:808-528-5252
Mailing Address - Street 1:1110 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 311
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1540
Mailing Address - Country:US
Mailing Address - Phone:808-528-5252
Mailing Address - Fax:808-528-0580
Practice Address - Street 1:1110 UNIVERSITY AVE
Practice Address - Street 2:SUITE 311
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1540
Practice Address - Country:US
Practice Address - Phone:808-528-5252
Practice Address - Fax:808-528-0580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI159156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIA1861-2OtherBLUE CROSS BLUE SHIELD