Active NPI
Pacific Vision Institute Inc
- Ophthalmology Physician
- Honolulu, HI
National Provider Identifier
1255682811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD12121
- Legal business name
- PACIFIC VISION INSTITUTE INC
- Practice address
- 1401 S Beretania St
#560
Honolulu, HI 96814-1870 - Phone
- (808) 428-3288
- NPI assigned
- Sep 24, 2012
- 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. Vivien Tham, M.D.
- Title
- President
- Phone
- (808) 428-3288
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 | MD12121 | HI | Primary |
Addresses
Primary practice location
1401 S Beretania St
#560
Honolulu, HI 96814-1870
Mailing address
1401 S Beretania St
#560
Honolulu, HI 96814-1870
Phone (808) 728-6728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130506000127 | HI | Part B Supplier - Clinic/Group Practice | 6002053329 |
Receives reassigned benefits from 1 practitioner Practice locations: Honolulu, HI |
National Provider Directory
National Provider DirectoryLocations
1401 S Beretania St
Ste 560
Honolulu, HI 96814
Phone (808) 428-3288
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": "1348444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370908800000",
"number": "1255682811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S BERETANIA ST",
"address_2": "#560",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141870",
"telephone_number": "808-728-6728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S BERETANIA ST",
"address_2": "#560",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141870",
"telephone_number": "808-428-3288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC VISION INSTITUTE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-24",
"last_updated": "2013-06-11",
"status": "A",
"authorized_official_last_name": "THAM",
"authorized_official_first_name": "VIVIEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-428-3288",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "HI",
"license": "MD12121",
"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 Jun 11, 2013; 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.