Provider Demographics
NPI:1104012665
Name:LUI, LAI & ASSOCIATES, INC
Entity Type:Organization
Organization Name:LUI, LAI & ASSOCIATES, INC
Other - Org Name:MID PACIFIC EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSOCIATE
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SHIMABUKURO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-262-4071
Mailing Address - Street 1:407 ULUNIU ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2519
Mailing Address - Country:US
Mailing Address - Phone:808-262-4071
Mailing Address - Fax:808-263-1063
Practice Address - Street 1:407 ULUNIU ST
Practice Address - Street 2:SUITE 109
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2519
Practice Address - Country:US
Practice Address - Phone:808-262-4071
Practice Address - Fax:808-263-1063
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUI, LAI & ASSOCIATES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-19
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD210152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI020184-01Medicaid
T41203Medicare UPIN
HI020184-01Medicaid