Lawrence Michael Eng, AUD
Individual provider Active NPI Audiologist-Hearing Aid Fitter · Wailuku, HI
NPI 1316980451 · NPPES record last updated Jun 10, 2021
Key facts
- NPI
- 1316980451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist-Hearing Aid Fitter 237600000X
- License
- 143 (HI)
- Practice address
- 2180 Main St
Wailuku, HI 96793-1625 - Phone
- (808) 242-6464
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan Inc
Practice addresses (Care Compare)
80 Mahalani St
Wailuku, HI 96793-2531
Phone (808) 432-5312
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110808000616 | HI | Practitioner - Qualified Audiologist | 5799713335 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100 | HI | MD | Optometrist |
| 143 | HI | MD | Assistive Technology Practitioner Audiologist |
| AU1064 | CA | MD | Assistive Technology Supplier Audiologist |
| HA2344 | CA | MD | Audiologist-Hearing Aid Fitter |
| 1064 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan, Inc | Current |
Accepting new patients | |
| David S Crow MD PHD LLC | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients | |
| Golden Gate Hearing Services | Audiologist | Past |
Accepting new patients |
Locations
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600
80 Mahalani St
Wailuku, HI 96793
Phone (808) 243-6000
71 Kanoa St
Ste 101
Wailuku, HI 96793
Phone (808) 244-5999
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 100 | HI | |
| Assistive Technology Practitioner Audiologist | 231HA2400X | AU1064 | CA | |
| Audiologist | 231H00000X | AU1064 | CA | |
| Assistive Technology Supplier Audiologist | 231HA2500X | 143 | HI | |
| Assistive Technology Practitioner Audiologist | 231HA2400X | 143 | HI | |
| Assistive Technology Supplier Audiologist | 231HA2500X | AU1064 | CA | |
| Audiologist-Hearing Aid Fitter | 237600000X | HA2344 | CA | |
| Audiologist-Hearing Aid Fitter | 237600000X | 143 | HI | Yes |
Addresses
Primary practice location
2180 Main St
Wailuku, HI 96793-1625
Mailing address
2180 Main St
Wailuku, HI 96793-1625
Phone (808) 242-6464
Other practice location 1
80 Mahalani St
Wailuku, HI 96793-2531
Phone (808) 243-6000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AU0010640 | Medicaid | CA | |
| ZZZ43673Z | Other | CA | STANDARD BUSINESS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Other providers in Wailuku, HI
- Susann Elliott
- Michael Lynn Ellis
- Kate Hannah Elson
- Marc S Emde
- Patti K.M. Endo
- Cameron Edward English
- Jonathan-James Tadao Eno
- Josette Enomoto
- Eri Shimizu M.D. LLC
- Julie Ericson
All providers in Wailuku, HI · Audiologist-Hearing Aid Fitter in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.