Organization Active NPI

DRS.Seulyn Lee Au and Khan G W Lau Optometrist Inc

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1144367228
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
203 Issued in HI
Legal business name
DRS.SEULYN LEE AU AND KHAN G W LAU OPTOMETRIST INC
Practice address
1450 Ala Moana Blvd Ste 3265
Honolulu, HI 96814-4629
Phone
(808) 941-1566
Fax
(808) 593-1566
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Dr. Seulyn Lee Au, OD
Title
Managing Optometrist
Phone
(808) 591-1566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 203 HI Primary

Addresses

Primary practice location

1450 Ala Moana Blvd Ste 3265
Honolulu, HI 96814-4629

Mailing address

1580 Makaloa St Ste 950
Honolulu, HI 96814-3258
Phone (808) 591-1566

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051025000159 HI Part B Supplier - Clinic/Group Practice 9537186077 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

98-1005 Moanalua Rd
Spc 202
Aiea, HI 96701
Phone (808) 486-2666

1580 Makaloa St
Ste 950
Honolulu, HI 96814
Phone (808) 591-1566

1450 Ala Moana Blvd
Ste 3265
Honolulu, HI 96814
Phone (808) 941-1566

4211 Waialae Ave
#B11
Honolulu, HI 96816
Phone (808) 732-1566

46-056 Kamehameha Hwy
#16
Kaneohe, HI 96744
Phone (808) 235-6641

Practitioners & affiliated clinicians

Practitioners 7

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": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1144367228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MAKALOA ST STE 950",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143258",
            "telephone_number": "808-591-1566",
            "fax_number": "808-593-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ALA MOANA BLVD STE 3265",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144629",
            "telephone_number": "808-941-1566",
            "fax_number": "808-593-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS.SEULYN LEE AU AND KHAN G W LAU OPTOMETRIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "AU",
        "authorized_official_first_name": "SEULYN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "MANAGING OPTOMETRIST",
        "authorized_official_telephone_number": "808-591-1566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 9, 2021; 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.