# MAEHARA EYE SURGERY & LASER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dennis I. Maehara, M.D., Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619118718
- **Authorized official:** DENNIS I MAEHARA M.D. (PRESIDENT)
- **Authorized official phone:** (808) 671-3782

## Contact information

- **Practice address:** 94-239 WAIPAHU DEPOT STREET, \#105, WAIPAHU, HI 96797-3095
- **Practice address phone:** (808) 671-3782
- **Practice address fax:** (808) 671-3782
- **Mailing address:** 94-239 WAIPAHU DEPOT STREET, \#105, WAIPAHU, HI 96797-3095
- **Mailing address phone:** (808) 671-3782
- **Mailing address fax:** (808) 671-3782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | MD-11924 | HI | — |
| 207W00000X | Ophthalmology Physician | MD-2131 | HI | Yes |

## Other

- **Enumeration date:** 03/19/2009
- **Last updated:** 02/10/2012
