Garden Island Eye Care

LBN: Garden Island Eye Care
Garden Island Eye Care is an health care organization with primary practice located at 4414 Kukui Grove Street Suite 101, Lihue HI 96766. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Garden Island Eye Care can be contacted via phone (808) 632-2020, or through Gandia, Derelyne via phone (808) 632-2020.

Contact Information

Primary practice address
4414 Kukui Grove Street Suite 101 Lihue HI 96766
Phone: (808) 632-2020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gandia, Derelyne Doctor of Optometry (OD)
Phone: (808) 632-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD674 Hawaii

Profile Details

NPI number 1962706473
LBN Legal business name Garden Island Eye Care
DBA Doing business as Garden Island Eye Care
Authorized official Gandia, Derelyne Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2010
Last updated Oct 18th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962706473 NPPES
Hawaii MEDICAID 613001-01

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