Provider Demographics
NPI:1972994341
Name:KHAN LAU OPTOMETRIST INC.
Entity Type:Organization
Organization Name:KHAN LAU OPTOMETRIST INC.
Other - Org Name:EYEWEAR EMPORIUM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-523-6484
Mailing Address - Street 1:98-1256 KAAHUMANU ST # E-101
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-3282
Mailing Address - Country:US
Mailing Address - Phone:808-380-4379
Mailing Address - Fax:808-735-5595
Practice Address - Street 1:737 BISHOP ST
Practice Address - Street 2:SUITE 110
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-3201
Practice Address - Country:US
Practice Address - Phone:808-523-6484
Practice Address - Fax:808-523-6485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIHI309152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty