Provider Demographics
NPI:1518712264
Name:FAMILY EYE CARE ASSOCIATES - KANEOHE LLC
Entity Type:Organization
Organization Name:FAMILY EYE CARE ASSOCIATES - KANEOHE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKAGAWA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-247-6696
Mailing Address - Street 1:45-1123 KAMEHAMEHA HWY STE C
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-3252
Mailing Address - Country:US
Mailing Address - Phone:808-247-6696
Mailing Address - Fax:808-247-6665
Practice Address - Street 1:45-1123 KAMEHAMEHA HWY STE C
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3252
Practice Address - Country:US
Practice Address - Phone:808-247-6696
Practice Address - Fax:808-247-6665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-17
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty