Organization Active NPI

Cataract & Vision Center of Hawaii LLC

  • Ophthalmologic Surgery Clinic/Center
  • Honolulu, HI
National Provider Identifier
1083765622
Registry record updated Sep 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
MD2229 Issued in HI
Legal business name
CATARACT & VISION CENTER OF HAWAII LLC
Practice address
1712 Liliha St
Suite 400
Honolulu, HI 96817-5410
Phone
(808) 524-1010
Fax
(808) 531-1030
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2017

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

Authorized official

Name
Dr. Worldster S M Lee, M D
Title
Medical Director
Phone
(808) 524-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X MD2229 HI Primary

Addresses

Primary practice location

1712 Liliha St
Suite 400
Honolulu, HI 96817-5410

Mailing address

1712 Liliha St
Suite 400
Honolulu, HI 96817-5410
Phone (808) 524-1010

Other names 1

  • Cataract and Vision Center of Hawaii Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051012000234 HI Part B Supplier - Clinic/Group Practice 6103841812 Receives reassigned benefits from 2 practitioners
Practice locations: Waianae, HI; Honolulu, HI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Cataract Vision Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1712 Liliha St
Honolulu, HI 96817

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505433600000",
    "number": "1083765622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST",
            "address_2": "SUITE 400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175410",
            "telephone_number": "808-524-1010",
            "fax_number": "808-531-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST",
            "address_2": "SUITE 400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175410",
            "telephone_number": "808-524-1010",
            "fax_number": "808-531-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATARACT & VISION CENTER OF HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2017-09-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WORLDSTER",
        "authorized_official_middle_name": "S M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "808-524-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "HI",
            "license": "MD2229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cataract and Vision Center of Hawaii",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.