Provider Demographics
NPI:1851960843
Name:INSPIRED VISION, LLC
Entity Type:Organization
Organization Name:INSPIRED VISION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:OROKU
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-228-7772
Mailing Address - Street 1:1580 MAKALOA ST STE 950
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3258
Mailing Address - Country:US
Mailing Address - Phone:808-591-1566
Mailing Address - Fax:
Practice Address - Street 1:1580 MAKALOA ST STE 950
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3258
Practice Address - Country:US
Practice Address - Phone:808-591-1566
Practice Address - Fax:808-593-1566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty