Provider Demographics
NPI:1629534268
Name:PROJECT VISION HAWAII
Entity Type:Organization
Organization Name:PROJECT VISION HAWAII
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DARRAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUHANE-FLOERKE
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:808-306-4406
Mailing Address - Street 1:PO BOX 23212
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96823-3212
Mailing Address - Country:US
Mailing Address - Phone:808-201-3937
Mailing Address - Fax:
Practice Address - Street 1:1110 NUUANU AVE STE 16
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5119
Practice Address - Country:US
Practice Address - Phone:808-201-3937
Practice Address - Fax:833-941-2390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-19
Last Update Date:2021-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI57683701Medicaid