NPIMap

Organization Active NPI

Pacific Eye Center, Inc

  • Ophthalmology Physician
  • Lihue, HI
National Provider Identifier
1891891164
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PACIFIC EYE CENTER, INC
Practice address
4418 Kukui Grove Street
Lihue, HI 96766-1676
Phone
(808) 245-5377
Fax
(808) 245-6142
NPI assigned
Sep 15, 2006
Last updated
Jun 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

4418 Kukui Grove Street
Lihue, HI 96766-1676

Mailing address

4418 Kukui Grove Street
Lihue, HI 96766-1676
Phone (808) 245-5377

Other identifiers 1

IdentifierTypeStateIssuer
05516401MedicaidHI

Other names 1

  • Pacific Eye Center Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464912000000",
    "number": "1891891164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 KUKUI GROVE STREET",
            "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 STREET",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661676",
            "telephone_number": "808-245-5377",
            "fax_number": "808-245-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC EYE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-06-03",
        "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": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05516401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Eye Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jun 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.