Provider Demographics
NPI:1821264367
Name:CALVIN ALONZO, O.D., INC
Entity Type:Organization
Organization Name:CALVIN ALONZO, O.D., INC
Other - Org Name:THE FILIPINO COMMUNITY VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALONZO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-677-7222
Mailing Address - Street 1:94-428 MOKUOLA ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-6300
Mailing Address - Country:US
Mailing Address - Phone:808-677-7222
Mailing Address - Fax:808-677-3300
Practice Address - Street 1:94-428 MOKUOLA ST
Practice Address - Street 2:SUITE 102
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-6300
Practice Address - Country:US
Practice Address - Phone:808-677-7222
Practice Address - Fax:808-677-3300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-05
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD573152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1821264367OtherORGANIZATION NPI
HI4760220001Medicare NSC
HIH54811Medicare PIN
U91759Medicare UPIN