Organization
EYE CENTER OF HAWAII LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BENNETT M.D. (PRESIDENT AND FOUNDER)
(808) 955-0255
Entity
Organization
Contact information
Practice address
77-6403 NALANI ST UNIT 2, KAILUA KONA, HI 96740-9763
(808) 329-2010
(808) 329-2530
Mailing address
PO BOX 1300, MAILCODE 61324, HONOLULU, HI 96807-1300
(808) 329-2010
(808) 329-2530
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
643264
—
HI
01
—
DQ2190
RR MEDICARE
HI
Enumeration date
01/15/2010
Last updated
02/25/2021
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