Provider Demographics
NPI:1609048586
Name:JORGE G CAMARA M D INC
Entity Type:Organization
Organization Name:JORGE G CAMARA M D INC
Other - Org Name:CAMARA EYE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPHTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:G
Authorized Official - Last Name:CAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:808-524-1057
Mailing Address - Street 1:500 ALA MOANA BLVD
Mailing Address - Street 2:SUITE 5-300
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4990
Mailing Address - Country:US
Mailing Address - Phone:808-524-1057
Mailing Address - Fax:
Practice Address - Street 1:500 ALA MOANA BLVD
Practice Address - Street 2:SUITE 5-300
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4900
Practice Address - Country:US
Practice Address - Phone:808-524-1057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD4325261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00A0010510OtherHMSA
HI01011901Medicaid
HI9844609OtherUNIVERSITY HEALTH ALLIANC
HI01011901Medicaid
HI00A0010510OtherHMSA
HI4700030001Medicare NSC