Active NPI
Avenoir LLC
- Ophthalmology Physician
- Hilo, HI
National Provider Identifier
1639816986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- AVENOIR LLC
- Practice address
- 111 Aupuni St Ste 101
Hilo, HI 96720-4233 - Phone
- (808) 935-2964
- NPI assigned
- May 18, 2022
- Last updated
- May 18, 2022
- 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
- Wendy Siapco
- Title
- Manager
- Phone
- (360) 630-1512
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
111 Aupuni St Ste 101
Hilo, HI 96720-4233
Mailing address
1777 S Burlington Blvd # 264
Burlington, WA 98233-3223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
111 Aupuni St
Ste 101
Hilo, HI 96720
Phone (808) 935-2964
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652832000000",
"number": "1639816986",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1777 S BURLINGTON BLVD # 264",
"city": "BURLINGTON",
"state": "WA",
"postal_code": "982333223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 AUPUNI ST STE 101",
"city": "HILO",
"state": "HI",
"postal_code": "967204233",
"telephone_number": "808-935-2964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVENOIR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-18",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A",
"authorized_official_last_name": "SIAPCO",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "360-630-1512"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.