Provider Demographics
NPI:1952577975
Name:CORNEA & REFRACTIVE SURGERY CONSULTANTS OF THE PACIFIC, INC.
Entity Type:Organization
Organization Name:CORNEA & REFRACTIVE SURGERY CONSULTANTS OF THE PACIFIC, INC.
Other - Org Name:EYESIGHT HAWAII
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:OLKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-735-1935
Mailing Address - Street 1:650 IWILEI RD STE 210
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5318
Mailing Address - Country:US
Mailing Address - Phone:808-735-1935
Mailing Address - Fax:808-735-6875
Practice Address - Street 1:650 IWILEI RD STE 210
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5318
Practice Address - Country:US
Practice Address - Phone:808-735-1935
Practice Address - Fax:808-735-6875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty