Hawaii Retina Research Foundation

Key facts

NPI

1326409145

Entity type

Organization (NPI type 2)

Primary specialty

Ophthalmology Physician 207W00000X

Legal business name

HAWAII RETINA RESEARCH FOUNDATION

Practice address

1620 Ala Moana Blvd
Suite 500
Honolulu, HI 96815-1437

Phone

(808) 955-0255

Fax

(808) 955-4155

NPI assigned

Mar 8, 2016

Organization subpart

No

Authorized official

Name

Michael D. Bennett, MD

Title

President

Phone

(808) 955-0255

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 8, 2016.

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1326409145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 ALA MOANA BLVD",
            "address_2": "SUITE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151437",
            "telephone_number": "808-955-0255",
            "fax_number": "808-955-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ALA MOANA BLVD",
            "address_2": "SUITE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151437",
            "telephone_number": "808-955-0255",
            "fax_number": "808-955-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII RETINA RESEARCH FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-955-0255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Honolulu, HI · Ophthalmology Physician in Hawaii