Eye Care Center of Kauai LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD601 Issued in HI

Legal business name

EYE CARE CENTER OF KAUAI LLC

Practice address

4366 Kukui Grove St
Suite 101
Lihue, HI 96766-2006

Phone

(808) 246-0051

Fax

(808) 246-4816

NPI assigned

Apr 6, 2007

Last updated

Nov 15, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy L Lee, MDNPI 1467557538

Title

Member

Phone

(808) 246-0051

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy L. Lee, M.D.

  • Ophthalmology Physician
  • Lihue, HI
  • NPI 1467557538
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1346363363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4366 KUKUI GROVE ST",
            "address_2": "SUITE 101",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662006",
            "telephone_number": "808-246-0051",
            "fax_number": "808-246-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4366 KUKUI GROVE ST",
            "address_2": "SUITE 101",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662006",
            "telephone_number": "808-246-0051",
            "fax_number": "808-246-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE CENTER OF KAUAI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-246-0051",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD601",
            "primary": true
        },
        {
            "code": "156FX1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": "HI",
            "license": "MD5846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Equip LLC
• Tara D. Erb
• Sharon Lois Longe Espina, ARNP
• Bree Estes
• Marissa Evslin, MS OTR/L
• Eye Care Center of Kauai, Inc.
• Eye Care Kauai LLC (Eye Care Kauai)
• Sandra Ann Fabian, APRN, BC
• Maria Motilla Fabro, APRN-BC
• Jamielyn L Faford

• Optometrist in Lihue, HI
• Providers in Lihue, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; 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.