NPIMap

Organization Active NPI

Oculofacial Plastic Surgery of Hawaii Inc

  • Ophthalmology Physician
  • Honolulu, HI
National Provider Identifier
1164048005
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
OCULOFACIAL PLASTIC SURGERY OF HAWAII INC
Practice address
1380 Lusitana St Ste 912
Honolulu, HI 96813-2448
Phone
(808) 888-9981
Fax
(808) 468-4753
NPI assigned
Jun 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Bradford W Lee, MDNPI 1710113352
Title
Provider
Phone
(808) 888-9981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1380 Lusitana St Ste 912
Honolulu, HI 96813-2448

Mailing address

PO Box 29690
Honolulu, HI 96820-2090
Phone (808) 888-9981

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.queens.org/the-queens-medical-center/queens-medical-center Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210126002172 HI Part B Supplier - Clinic/Group Practice 6204240690 Receives reassigned benefits from 3 practitioners
Practice locations: Honolulu, HI; Kihei, HI

National Provider Directory

National Provider Directory

Locations

1301 Punchbowl St
#912
Honolulu, HI 96813

1300 N Holopono St
Ste 215
Kihei, HI 96753
Phone (800) 874-3444

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1164048005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29690",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968202090",
            "telephone_number": "808-888-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 912",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132448",
            "telephone_number": "808-888-9981",
            "fax_number": "808-468-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCULOFACIAL PLASTIC SURGERY OF HAWAII INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "808-888-9981",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.queens.org/the-queens-medical-center/queens-medical-center",
            "affiliation": "N",
            "endpointDescription": "main office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1301 Punchbowl St # 912",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968132402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 27, 2026; 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.