Provider Demographics
NPI:1790442812
Name:VISION CARE CENTER OF HAWAII LLC
Entity Type:Organization
Organization Name:VISION CARE CENTER OF HAWAII LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD, FAAO
Authorized Official - Phone:209-658-5161
Mailing Address - Street 1:94-050 FARRINGTON HWY STE B1-1
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1800
Mailing Address - Country:US
Mailing Address - Phone:808-677-1544
Mailing Address - Fax:808-671-3538
Practice Address - Street 1:94-050 FARRINGTON HWY STE B1-1
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-1800
Practice Address - Country:US
Practice Address - Phone:808-677-1544
Practice Address - Fax:808-671-3538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty