Provider Demographics
NPI:1245449248
Name:DKABE INC
Entity type:Organization
Organization Name:DKABE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:KAZUHISA
Authorized Official - Last Name:ABE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-946-6136
Mailing Address - Street 1:1441 KAPIOLANI BLVD
Mailing Address - Street 2:SUITE #805
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4402
Mailing Address - Country:US
Mailing Address - Phone:808-946-6136
Mailing Address - Fax:808-943-6236
Practice Address - Street 1:1441 KAPIOLANI BLVD
Practice Address - Street 2:SUITE #805
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4402
Practice Address - Country:US
Practice Address - Phone:808-946-6136
Practice Address - Fax:808-943-6236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI55136Medicare ID - Type Unspecified