Provider Demographics
NPI:1902825821
Name:CATARACT & VISION CENTER OF HAWAII LLC
Entity Type:Organization
Organization Name:CATARACT & VISION CENTER OF HAWAII LLC
Other - Org Name:CATARACT AND VISION CENTER OF HAWAII
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WORLDSTER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:808-524-1010
Mailing Address - Street 1:1712 LILIHA ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5410
Mailing Address - Country:US
Mailing Address - Phone:808-524-1010
Mailing Address - Fax:808-531-1030
Practice Address - Street 1:1712 LILIHA ST
Practice Address - Street 2:SUITE 400
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5410
Practice Address - Country:US
Practice Address - Phone:808-524-1010
Practice Address - Fax:808-531-1030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIFSOF-1261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI53676601Medicaid
HI2661-7OtherHMSA PROVIDER NUMBER
HIH0000WDCBMMedicare ID - Type Unspecified
HI2661-7OtherHMSA PROVIDER NUMBER