Provider Demographics
NPI:1881649226
Name:LUI, KEVIN K (OD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:K
Last Name:LUI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 MAKALOA ST
Mailing Address - Street 2:SUITE 590
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3237
Mailing Address - Country:US
Mailing Address - Phone:808-947-0111
Mailing Address - Fax:808-955-2523
Practice Address - Street 1:1580 MAKALOA ST
Practice Address - Street 2:SUITE 590
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3237
Practice Address - Country:US
Practice Address - Phone:808-947-0111
Practice Address - Fax:808-955-2523
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI210152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000PGBSLMedicare ID - Type Unspecified
HI50376Medicare PIN
HIT41203Medicare UPIN