Provider Demographics
NPI:1376209098
Name:LOVE ALOHA EYECARE LLC
Entity Type:Organization
Organization Name:LOVE ALOHA EYECARE LLC
Other - Org Name:LOVE ALOHA EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF OPTOMETRY
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLOTTE
Authorized Official - Middle Name:F
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:248-410-0115
Mailing Address - Street 1:75-1022 HENRY ST STE 2
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-3132
Mailing Address - Country:US
Mailing Address - Phone:248-410-0115
Mailing Address - Fax:
Practice Address - Street 1:75-1022 HENRY ST STE 2
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-3132
Practice Address - Country:US
Practice Address - Phone:248-410-0115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty