Vitra Eyewear Group LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

VITRA EYEWEAR GROUP LLC

Practice address

2233 Kalakaua Ave # B111E
Honolulu, HI 96815-5200

Phone

(808) 200-2330

NPI assigned

Feb 20, 2020

Last updated

Feb 20, 2020By 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

Cosmas Lykos

Title

Ceo

Phone

(808) 200-2330

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1619500394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 KALAKAUA AVE # B111E",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968155200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 KALAKAUA AVE # B111E",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968155200",
            "telephone_number": "808-200-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITRA EYEWEAR GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "LYKOS",
        "authorized_official_first_name": "COSMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-200-2330"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON",
            "identifier": "NON",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Health Service Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.