Provider Demographics
NPI:1578707238
Name:LIANE N. CASUGA, O.D.,INC.
Entity Type:Organization
Organization Name:LIANE N. CASUGA, O.D.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LIANE
Authorized Official - Middle Name:NALANI
Authorized Official - Last Name:CASUGA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-623-0702
Mailing Address - Street 1:95-550 LANIKUHANA AVE
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-1783
Mailing Address - Country:US
Mailing Address - Phone:808-623-0702
Mailing Address - Fax:808-623-9677
Practice Address - Street 1:95-550 LANIKUHANA AVE
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-1783
Practice Address - Country:US
Practice Address - Phone:808-623-0702
Practice Address - Fax:808-623-9677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-26
Last Update Date:2009-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI268152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty