Provider Demographics
NPI:1275699472
Name:DAVID K F MAU O D INC
Entity Type:Organization
Organization Name:DAVID K F MAU O D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:KF
Authorized Official - Last Name:MAU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-836-2020
Mailing Address - Street 1:848 ALA LILIKOI ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-2144
Mailing Address - Country:US
Mailing Address - Phone:808-836-2020
Mailing Address - Fax:808-834-1334
Practice Address - Street 1:848 ALA LILIKOI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-2144
Practice Address - Country:US
Practice Address - Phone:808-836-2020
Practice Address - Fax:808-834-1334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH56708Medicare PIN
HI5832380001Medicare NSC