Eye Gallery Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

644 Issued in HI

Legal business name

EYE GALLERY INC

Practice address

380 Huku Lii PL
Suite 107
Kihei, HI 96753-7043

Phone

(808) 875-4466

Fax

(808) 874-3899

NPI assigned

Dec 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Alicia Van, O.D.NPI 1609938398

Title

Managing Member

Phone

(808) 875-4466

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Practitioners 3

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

• Alicia Van, O.D.

  • Optometrist
  • Kihei, HI
  • NPI 1609938398
  Medicare reassignment NPD Authorized official
• Brian Kiyoshi Nakano, D.O.

  • Optician
  • Kihei, HI
  • NPI 1114045838
  NPD (past)
• Diane Susan Santesson, O.D.

  • Optometrist
  • Portland, OR
  • NPI 1457448797
  NPD (past)

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1881839405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HUKU LII PL",
            "address_2": "SUITE 107",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537043",
            "telephone_number": "808-875-4466",
            "fax_number": "808-874-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HUKU LII PL",
            "address_2": "SUITE 107",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537043",
            "telephone_number": "808-875-4466",
            "fax_number": "808-874-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE GALLERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "808-875-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Denise England
• Sarah Englert, LMFT
• Emily English, PT, DPT
• Cory Erben
• Cheri Ann Ewing, PHD
• Lisa Fanning, LMHC, NCC
• Katherine Farden
• Jessica Fermin
• Micaela De Fatima Ferreira, RBT
• Nina Renee Fichter

• Optometrist in Kihei, HI
• Providers in Kihei, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.