Retina Associates of Hawaii, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

2509 Issued in HI

Legal business name

RETINA ASSOCIATES OF HAWAII, INC.

Practice address

1329 Lusitana St
Suite 502
Honolulu, HI 96813-2429

Phone

(808) 521-8483

NPI assigned

May 20, 2006

Organization subpart

No

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

Authorized official

Name

John Huey Drouilhet, M.D., F.A.C.S.NPI 1528066487

Title

Physician

Phone

(808) 521-8483

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 3

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

• John Huey Drouilhet, M.D., F.A.C.S.

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1528066487
  Medicare reassignment Authorized official
• Anna Walker Parlin, MD, MPH

  • Retina Specialist (Ophthalmology) Physician
  • Honolulu, HI
  • NPI 1780942722
  Medicare reassignment NPD
• Neal H Atebara, MD, FACS

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1093828840

  Specialist

  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992759146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-521-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-521-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES OF HAWAII, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DROUILHET",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HUEY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-521-8483",
        "authorized_official_credential": "M.D., F.A.C.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "2509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "65C PLUS",
            "identifier": "B10443",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "B10443",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01005301",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jessica Fay Mateo Resurreccion
• Mary Jane Resurrecion
• Maria Del Carmen Reta
• Retina Center of Hawaii LLC
• Retina Institute of Hawaii LLC
• Richard D Revheim
• Revive Infusion Center LLC
• Megan Leigh Revolt, BCBA

• Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.