# AMELIA ANN FONG MD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aina Haina Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972024636
- **Authorized official:** AMELIA FONG MD (DR./OWNER)
- **Authorized official phone:** (808) 373-4522

## Contact information

- **Practice address:** 850 W HIND DR STE 212, HONOLULU, HI 96821-1845
- **Practice address phone:** (808) 373-4522
- **Mailing address:** 850 W HIND DR STE 212, HONOLULU, HI 96821-1845

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | MD-19193 | HI | Yes |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 07/03/2017
- **Last updated:** 05/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1104186311 | PERSONAL NPI | — |