Glaucoma Center of Hawaii, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

13515 Issued in HI

Legal business name

GLAUCOMA CENTER OF HAWAII, LLC

Practice address

1441 Kapiolani Blvd
Suite 1403
Honolulu, HI 96814-4401

Phone

(808) 945-2222

Fax

(808) 945-2220

NPI assigned

Jun 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Marshall Kim, M.D., PH.D.NPI 1871534883

Title

President

Phone

(808) 945-2222

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marshall Kim, M.D., PH.D.

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1871534883
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1396789665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "SUITE 1403",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144401",
            "telephone_number": "808-945-2222",
            "fax_number": "808-945-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "SUITE 1403",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144401",
            "telephone_number": "808-945-2222",
            "fax_number": "808-945-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLAUCOMA CENTER OF HAWAII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-945-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "13515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darryl W. Glaser, M.D.
• Harriet B Glass, MA LMFT
• Thomas A Glass, PH.D.
• David L. Glasser, P.A.
• Nikima M Glatt, PMHNP-BC, APRN-RX
• Kristen Diana Gleason, M.ED.
• Vineta Gleba
• Vickie Christine Gleed, APRN BC
• Allison Elizabeth Gleifert, RN
• Glen H Sugiyama

• Ophthalmology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Ophthalmology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.

Verify at the official NPI Registry.