Provider Demographics
NPI:1356405518
Name:HAWAIIAN EYE CENTER, INC.
Entity type:Organization
Organization Name:HAWAIIAN EYE CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RHEE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:808-621-8448
Mailing Address - Street 1:606 KILANI AVE
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-1904
Mailing Address - Country:US
Mailing Address - Phone:808-621-7852
Mailing Address - Fax:808-621-2082
Practice Address - Street 1:606 KILANI AVE
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-1904
Practice Address - Country:US
Practice Address - Phone:808-621-7852
Practice Address - Fax:808-621-2082
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAWAIIAN EYE CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-21
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1580156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00S0023776OtherHMSA OPT PIN-HILO
HI00I0023771OtherHMSA (BCBS,HI)OPT PIN-WAH
HI014838Medicaid
HI01483801Medicaid
HI00S0023776OtherHMSA OPT PIN-HILO
HI014838Medicaid
HI00S0023776OtherHMSA OPT PIN-HILO