Active NPI
Pacific Eyewear Inc
- Eyewear Supplier
- Lihue, HI
National Provider Identifier
1629280284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- PACIFIC EYEWEAR INC
- Practice address
- 4418 Kukui Grove St
Lihue, HI 96766-1676 - Phone
- (808) 245-5377
- Fax
- (808) 245-6142
- NPI assigned
- May 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larry Sherrer, M.D.
- Title
- Owner
- Phone
- (808) 245-5377
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
4418 Kukui Grove St
Lihue, HI 96766-1676
Mailing address
4418 Kukui Grove St
Lihue, HI 96766-1676
Phone (808) 245-5377
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055164-01 | Medicaid | HI |
National Provider Directory
National Provider DirectoryLocations
4418 Kukui Grove St
Lihue, HI 96766
Phone (808) 245-5377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1198022400000",
"number": "1629280284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4418 KUKUI GROVE ST",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661676",
"telephone_number": "808-245-5377",
"fax_number": "808-245-6142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4418 KUKUI GROVE ST",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661676",
"telephone_number": "808-245-5377",
"fax_number": "808-245-6142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC EYEWEAR INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-04",
"last_updated": "2007-12-19",
"status": "A",
"authorized_official_last_name": "SHERRER",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-245-5377",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055164-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.