NPIMap

Organization Active NPI

Modern Eyes Optometry, Inc.

  • Optometrist
  • Honolulu, HI
National Provider Identifier
1275921132
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-508 Issued in HI
Legal business name
MODERN EYES OPTOMETRY, INC.
Practice address
1450 Ala Moana Blvd
Suite 3265
Honolulu, HI 96814-4604
Phone
(808) 945-3539
Fax
(808) 312-6307
NPI assigned
Dec 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Authorized official

Name
Dr. Trinh Pham, ODNPI 1871712299
Title
President
Phone
(808) 945-3539

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD-508 HI Primary

Addresses

Primary practice location

1450 Ala Moana Blvd
Suite 3265
Honolulu, HI 96814-4604

Mailing address

1450 Ala Moana Blvd
Suite 3265
Honolulu, HI 96814-4604
Phone (808) 945-3539

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419897600000",
    "number": "1275921132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 ALA MOANA BLVD",
            "address_2": "SUITE 3265",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144604",
            "telephone_number": "808-945-3539",
            "fax_number": "808-312-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ALA MOANA BLVD",
            "address_2": "SUITE 3265",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144604",
            "telephone_number": "808-945-3539",
            "fax_number": "808-312-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN EYES OPTOMETRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2014-12-30",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TRINH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-945-3539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-508",
            "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 Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.