Active NPI
Luis C Omphroy MD LLC
- Ophthalmology Physician
- Aiea, HI
National Provider Identifier
1215128673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- LUIS C OMPHROY MD LLC
- Practice address
- 98-1247 Kaahumanu St Ste 118a
Aiea, HI 96701-5310 - Phone
- (808) 487-7700
- Fax
- (808) 488-4151
- NPI assigned
- Aug 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luis C Omphroy, M.D.
- Title
- LLC Member
- Phone
- (808) 487-7700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
98-1247 Kaahumanu St Ste 118a
Aiea, HI 96701-5310
Mailing address
PO Box 31000
Honolulu, HI 96849-0001
Phone (808) 487-7700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 52688204 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050513000138 | HI | Part B Supplier - Clinic/Group Practice | 9739120320 |
Receives reassigned benefits from 1 practitioner Practice locations: Aiea, HI |
National Provider Directory
National Provider DirectoryLocations
98-1247 Kaahumanu St
Ste 118A
Aiea, HI 96701
Phone (808) 487-7700
Practitioners & affiliated clinicians
Practitioners 1
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": "1186617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771804800000",
"number": "1215128673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31000",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968490001",
"telephone_number": "808-487-7700",
"fax_number": "808-488-4151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-1247 KAAHUMANU ST STE 118A",
"city": "AIEA",
"state": "HI",
"postal_code": "967015310",
"telephone_number": "808-487-7700",
"fax_number": "808-488-4151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUIS C OMPHROY MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-09",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A",
"authorized_official_last_name": "OMPHROY",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "LLC MEMBER",
"authorized_official_telephone_number": "808-487-7700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52688204",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.