Peter E Ackman, FCLSA

Primary specialty

OpticianTaxonomy code 156FX1800X

License

159 Issued in HI

Practice address

1110 University Ave
#311
Honolulu, HI 96826-1540

Phone

(808) 528-5252

Fax

(808) 528-0580

NPI assigned

Nov 2, 2005

Last updated

Sep 8, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Visions

  • Optician
  • Honolulu, HI
  • NPI 1083741540
  NPD (past) Authorized official

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410134400000",
    "number": "1417948910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 UNIVERSITY AVE",
            "address_2": "#311",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261540",
            "telephone_number": "808-528-5252",
            "fax_number": "808-528-0580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 UNIVERSITY AVE",
            "address_2": "#311",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261540",
            "telephone_number": "808-528-5252",
            "fax_number": "808-528-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKMAN",
        "first_name": "PETER",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "FCLSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2014-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "HI",
            "license": "159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1083741540",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roman Anthony S. Acierto, D.O.
• Carina Mae Acio
• Jessica Jung Ackerman, FNP
• Mary Jill Ackerman, LAC
• Marvin Wilson Acklin, PH.D.
• Crystalynne Acoba
• Jared David Acoba, M.D.
• Bryson James Kawika Acosta Madriaga, RBT
• BJ Isaac Pacupac Acosta, RPH
• Jhoan Acosta, CNA

• Optician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Optician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.