Provider Demographics
NPI:1942385984
Name:ALOHA LASER VISION LLC
Entity Type:Organization
Organization Name:ALOHA LASER VISION LLC
Other - Org Name:FAULKNER EYE CARE AND SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAULKNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-792-3937
Mailing Address - Street 1:1100 WARD AVE
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1600
Mailing Address - Country:US
Mailing Address - Phone:808-792-3937
Mailing Address - Fax:808-499-4818
Practice Address - Street 1:1100 WARD AVE
Practice Address - Street 2:SUITE 1000
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1600
Practice Address - Country:US
Practice Address - Phone:808-792-3937
Practice Address - Fax:808-499-4818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD 455152W00000X
HIMD 10871207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Not Answered207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty