Organization Active NPI

Luis C Omphroy MD LLC

  • Ophthalmology Physician
  • Aiea, HI
National Provider Identifier
1215128673
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on Feb 23, 2026

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.NPI 1528121423
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
52688204MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050513000138 HI Part B Supplier - Clinic/Group Practice 9739120320 Receives reassigned benefits from 1 practitioner
Practice locations: Aiea, HI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.