# ALOHA EYE CLINIC, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447298344
- **Authorized official:** JIVIN TANTISIRA MD (PRESIDENT)
- **Authorized official phone:** (808) 877-3984

## Contact information

- **Practice address:** 450 HOOKAHI ST, WAILUKU, HI 96793-1474
- **Practice address phone:** (808) 877-3984
- **Practice address fax:** (808) 871-6498
- **Mailing address:** PO BOX 29960, HONOLULU, HI 96820-2360
- **Mailing address phone:** (801) 845-2677
- **Mailing address fax:** (808) 871-6498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OD-809 | HI | — |
| 207W00000X | Ophthalmology Physician | MD-9427 | HI | Yes |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | MD-9427 | HI | — |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 04/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00264901 | — | HI |