Organization
THE SURGICAL SUITES LLC
Active
Other names
Faulkner Institute for Eye Care & Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS ANTHONY OMPHROY M.D. (PRESIDENT)
(808) 625-5577
Entity
Organization
Contact information
Practice address
1100 WARD AVE, STE 1001, HONOLULU, HI 96814-1617
(808) 531-0127
(808) 531-0455
Mailing address
1100 WARD AVE, STE 1001, HONOLULU, HI 96814-1617
(808) 531-0127
(808) 531-0455
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
FSOF-5
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022176-2
HMSA
HI
05
—
088307-01
—
HI
01
—
5516
ALOHA CARE
HI
Enumeration date
05/27/2005
Last updated
08/22/2020
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