Provider Demographics
NPI:1821308396
Name:SCHOFIELD VISION CENTER, INC.
Entity Type:Organization
Organization Name:SCHOFIELD VISION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PEILI
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-748-8900
Mailing Address - Street 1:126 NEFF ST
Mailing Address - Street 2:PMB 408
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-3626
Mailing Address - Country:US
Mailing Address - Phone:808-748-8900
Mailing Address - Fax:808-748-8941
Practice Address - Street 1:BLDG 694 POST EXCHANGE
Practice Address - Street 2:SUITE 11
Practice Address - City:SCHOFIELD BARRACKS
Practice Address - State:HI
Practice Address - Zip Code:96857
Practice Address - Country:US
Practice Address - Phone:808-748-8900
Practice Address - Fax:808-748-8941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI498152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
U72094Medicare UPIN