Pacific Retina Care. Llc

LBN: Pacific Retina Care. Llc
Pacific Retina Care. Llc is an health care organization with primary practice located at 94-849 Lumiaina St Suite 102, Waipahu HI 96797-5025. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Pacific Retina Care. Llc can be contacted via phone (808) 676-4772, or through Tafoya, Mark Edward via phone (808) 676-4772.

Contact Information

Primary practice address
94-849 Lumiaina St Suite 102 Waipahu HI 96797-5025
Phone: (808) 676-4772
Fax: (808) 676-8772
Website:
Map and Directions
Authorized official contact:
Name: Tafoya, Mark Edward Doctor of Medicine (MD)
Phone: (808) 676-4772

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD 11913 Hawaii

Profile Details

NPI number 1619118825
LBN Legal business name Pacific Retina Care. Llc
DBA Doing business as
Authorized official Tafoya, Mark Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 18th, 2009
Last updated Jun 26th, 2020 - about 6 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 1619118825 NPPES
Hawaii MEDICAID 517724

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