Organization Active NPI

Samuel C H Lo MD & Jonathan Lo MD a Prof Corp

  • Ophthalmology Physician
  • Honolulu, HI
National Provider Identifier
1629137757
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7922 Issued in HI
Legal business name
SAMUEL C H LO MD & JONATHAN LO MD A PROF CORP
Practice address
1441 Kapiolani Blvd
Ste. 418
Honolulu, HI 96814-4402
Phone
(808) 949-2000
Fax
(808) 949-2900
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

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

Authorized official

Name
Dr. Samuel Chung-Hang Lo, O.D., M.D.
Title
President
Phone
(808) 949-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 7922 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd
Ste. 418
Honolulu, HI 96814-4402

Mailing address

1441 Kapiolani Blvd
Ste. 418
Honolulu, HI 96814-4402
Phone (808) 949-2000

Other names 1

  • Laser and Eye Surgery Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000096 HI Part B Supplier - Clinic/Group Practice 8426949884 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1441 Kapiolani Blvd
Ste 418
Honolulu, HI 96814
Phone (808) 677-7727

Interoperability endpoints

  • Direct secure messaging: slo@drloeyemd.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1629137757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "STE. 418",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144402",
            "telephone_number": "808-949-2000",
            "fax_number": "808-949-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD",
            "address_2": "STE. 418",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144402",
            "telephone_number": "808-949-2000",
            "fax_number": "808-949-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL C H LO MD & JONATHAN LO MD A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "CHUNG-HANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-949-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D., M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "7922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laser and Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laser and Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.