MAKA LAB SERVICES COMPANY LLC (NPI# 1083016398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083016398 |
| Entity Type | Organization |
| Organization Name | MAKA LAB SERVICES COMPANY LLC |
| Practice Address |
1620 Ala Moana Blvd Suite 500 Honolulu HI 96815-1437 |
| Practice Telephone | 8089550255 |
| Mailing Telephone | 8089550255 |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |
| Authorized Official Name | PAUL SIBLEY (PRESIDENT) |
| Authorized Official Telephone | 8089550255 |
| Is Organization Subpart | Y |
| Parent Organization Name | RETINA INSTITUTE MANAGEMENT INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
| Street Address |
1620 ALA MOANA BLVD SUITE 500 |
| City | HONOLULU |
| State | HI |
| Zip Code | 96815-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164322 | Clifton Saunders Otto | Ophthalmology | 1620 Ala Moana Blvd, Ste 500, Honolulu, HI 96815 | 2005-06-17 |
| 1326409145 | Hawaii Retina Research Foundation | Ophthalmology | 1620 Ala Moana Blvd, Suite 500, Honolulu, HI 96815-1437 | 2016-03-08 |
| 1689003279 | Cec Eye Center LLC | Optometrist | 1620 Ala Moana Blvd, Suite 500, Honolulu, HI 96815-1437 | 2013-11-05 |
| 1487094454 | Natalie Ramirez | Optometrist | 1620 Ala Moana Blvd, Suite 500, Honolulu, HI 96815-1437 | 2013-07-04 |
| 1730439357 | Kimberly M Shiraishi | Optometrist | 1620 Ala Moana Blvd, Suite 500, Honolulu, HI 96815-1437 | 2012-09-11 |
| 1639433006 | Phillip Joseph Duran | Optometrist | 1620 Ala Moana Blvd, Suite 500, Honolulu, HI 96815-1437 | 2012-06-29 |
| 1487928750 | Hale Maka Ike LLC | Optometrist | 1620 Ala Moana Blvd, Suite 500, Honolulu, HI 96815-1437 | 2012-03-02 |
| 1508191685 | Kellen Kenji Kawika Kashiwa | Optometrist | 1620 Ala Moana Blvd, Suite 500, Honolulu, HI 96815-1437 | 2009-10-07 |
| 1992940720 | Michael John Gottner | Ophthalmology | 1620 Ala Moana Blvd, Suite 500, Honolulu, HI 96815-1437 | 2008-12-08 |
| 1477759454 | Farhad Safi | Ophthalmology | 1620 Ala Moana Blvd, Suite 500, Honolulu, HI 96815-1437 | 2007-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861956609 | Kristen Nicole Sutton | Counselor | 1888 Kalakaua Ave., Suite C312, Honolulu, HI 96815 | 2019-01-25 |
| 1760954192 | Mie Takizawa Lilavois | Nurse Practitioner | 120 Ka'iulani Ave, #kw 10&11, Honolulu, HI 96815 | 2018-12-25 |
| 1588131320 | Queen's Development Corporation and Subsidiaries | Clinic/Center | 449 Kapahulu Avenue, Suite 104, Honolulu, HI 96815 | 2018-10-30 |
| 1679906614 | Stephen Anthony Reynolds | Psychologist | 1684 Ala Moana Blvd Apt 252, Honolulu, HI 96815 | 2013-08-13 |
| 1275974834 | Sean David Tarrant | Behavioral Analyst | 456 Keoniana St Apt 304, Honolulu, HI 96815 | 2013-07-11 |
| 1679841928 | Saki Kimura | Physical Therapist | 120 Kaiuiani Ave., # Kw 10 & 11, Honolulu, HI 96815 | 2011-12-01 |
| 1376782243 | Ed G Fess | Preventive Medicine | 3038 La Pietra Cir, Honolulu, HI 96815 | 2009-02-16 |
| 1386813095 | Cck Daniel LLC | Family Medicine | 460 Ena Road, #603, Honolulu, HI 96815 | 2008-02-27 |
| 1932377751 | Ryan Koichi Frasco | Dentist | 3358 Campbell Avenue, Honolulu, HI 96815 | 2008-02-14 |
| 1952522609 | Stephen Richard Ho | Dentist | 438 Hobron Lane, Ste 209, Honolulu, HI 96815 | 2007-05-01 |
| Find all providers in zip 96815 | ||||
| Taxonomy Code | 156F00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| A broad category grouping different kinds of technologists and technicians. See individual definitions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437399045 | Chi Wing Chan | Technician/Technologist | 100 N Beretania St Ste 159, Honolulu, HI 96817-4798 | 2009-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494240 | Amelia Margaret Brownlee | Technician/Technologist | 905 Kalanianaole Hwy Spc 5001, Kailua, HI 96734-4669 | 2020-10-16 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.