Pacific ASC LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

PENDING Issued in HI

Legal business name

PACIFIC ASC LLC

Doing business as

Eye Surgery Center of Hawaii

Practice address

650 Iwilei Rd
Space #225
Honolulu, HI 96817-5086

Phone

(808) 949-2208

Fax

(808) 949-2209

NPI assigned

May 12, 2011

Last updated

May 12, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Douglas M Tonokawa

Title

Member

Phone

(808) 949-2208

Specialties & licenses 1

Addresses

Other names 1

• Eye Surgery Center of Hawaii Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Listed as

Eye Surgery Center of HawaiiCCN 12C0001019

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1043502792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 YOUNG ST",
            "address_2": "SUITE 288",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262169",
            "telephone_number": "808-949-2208",
            "fax_number": "808-949-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 IWILEI RD",
            "address_2": "SPACE #225",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175086",
            "telephone_number": "808-949-2208",
            "fax_number": "808-949-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "TONOKAWA",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-949-2208",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "HI",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Surgery Center of Hawaii",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Pacheco, LCSW
• Lori Pacheco
• Meiyi Kiyoko Angel Pacheco, LCSW
• Travis Thame Pacheco
• Pacific Anesthesia, Inc
• Pacific Autism Center
• Pacific Autism Center
• Pacific Autism Center
• Pacific Autism Center
• Pacific Cardiology LLC

• Ambulatory Surgical Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Ambulatory Surgical Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.