NPIMap

Organization Active NPI

Ezer, LLC

  • Optician
  • Honolulu, HI
National Provider Identifier
1992055321
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DIO-223 Issued in HI
Legal business name
EZER, LLC
Practice address
655 Keeaumoku Street
#110 A
Honolulu, HI 96814
Phone
(808) 944-1119
Fax
(808) 440-5458
NPI assigned
Sep 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Su Yon KimNPI 1124383872
Title
Owner
Phone
(808) 944-1118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X DIO-223 HI Primary

Addresses

Primary practice location

655 Keeaumoku Street
#110 A
Honolulu, HI 96814

Mailing address

655 Keeaumoku Street
#110 A
Honolulu, HI 96814
Phone (808) 944-1119

Other names 1

  • Sam Sung Optical Doing business as

National Provider Directory

National Provider Directory

Locations

655 Keeaumoku St
#110A
Honolulu, HI 96814
Phone (808) 944-1118

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1992055321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 KEEAUMOKU STREET",
            "address_2": "#110 A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-944-1119",
            "fax_number": "808-440-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 KEEAUMOKU STREET",
            "address_2": "#110 A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-944-1119",
            "fax_number": "808-440-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SU YON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-944-1118"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "HI",
            "license": "DIO-223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sam Sung Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.