Organization Active NPI

Avenoir LLC

  • Ophthalmology Physician
  • Hilo, HI
National Provider Identifier
1639816986
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20220606001897 HI Part B Supplier - Clinic/Group Practice 1759769664 Receives reassigned benefits from 1 practitioner
Practice locations: Hilo, HI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.