Provider Demographics
NPI:1720438823
Name:HAWKIN LUI, OD, A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:HAWKIN LUI, OD, A PROFESSIONAL CORPORATION
Other - Org Name:OPTOMETRY CORNER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAIWA
Authorized Official - Middle Name:HAWKIN
Authorized Official - Last Name:LUI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-730-9580
Mailing Address - Street 1:4940 IRVINE BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-1959
Mailing Address - Country:US
Mailing Address - Phone:714-730-9580
Mailing Address - Fax:714-730-9517
Practice Address - Street 1:4940 IRVINE BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-1959
Practice Address - Country:US
Practice Address - Phone:714-730-9580
Practice Address - Fax:714-730-9517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-20
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14483152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty