| Retina Institute Of Hawaii Llc | |
|
77-6403 Nalani St Fl 2, Kailua Kona, HI 96740-9763 | |
| (808) 955-0255 | |
| (808) 955-4155 |
| Full Name | Retina Institute Of Hawaii Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 77-6403 Nalani St Fl 2, Kailua Kona, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801859871 | NPI | - | NPPES |
| 50433301 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Michael D Bennett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1043274111 PECOS PAC ID: 7517921034 Enrollment ID: I20041115001110 |
| Provider Name | Michael Kroll |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538160627 PECOS PAC ID: 4385695790 Enrollment ID: I20050202001015 |
| Provider Name | Kellen Kk Kashiwa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508191685 PECOS PAC ID: 4183894918 Enrollment ID: I20110902000152 |
| Provider Name | Wendell C Danforth |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1821043803 PECOS PAC ID: 0143292763 Enrollment ID: I20140331000615 |
| Provider Name | Farhad Safi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477759454 PECOS PAC ID: 4880827880 Enrollment ID: I20140428001420 |
| Provider Name | Paula E Young |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326200320 PECOS PAC ID: 0042518607 Enrollment ID: I20160414001114 |
| Provider Name | John Somers Buist Dick Ii |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083762918 PECOS PAC ID: 7214953751 Enrollment ID: I20190625001412 |
| Provider Name | Vincent Nguyen Vu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134426620 PECOS PAC ID: 3072820174 Enrollment ID: I20200129002116 |
| Provider Name | Peter Richard Hurlbut-miller |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1285695940 PECOS PAC ID: 2668476243 Enrollment ID: I20210712001649 |
| Provider Name | Nathan Aschel Jordan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104264514 PECOS PAC ID: 9739409277 Enrollment ID: I20210922003267 |
| Provider Name | Ryan Perry Steck |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053811620 PECOS PAC ID: 4082046388 Enrollment ID: I20221228002463 |
| Provider Name | Sarah Ann Ho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437933801 PECOS PAC ID: 9638524200 Enrollment ID: I20231017002724 |
| Provider Name | Craig L Wilkerson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1508976267 PECOS PAC ID: 1658351572 Enrollment ID: I20240724003776 |
| Provider Name | Thomas B Redens |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134144926 PECOS PAC ID: 1456493485 Enrollment ID: I20240814002178 |
| Provider Name | Mark Kevin Bryant |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093939746 PECOS PAC ID: 6103977301 Enrollment ID: I20241111000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Retina Institute Of Hawaii Llc Po Box 1300, Mailcode 61323, Honolulu, HI 96807-1300 Ph: (808) 955-0255 | Retina Institute Of Hawaii Llc 77-6403 Nalani St Fl 2, Kailua Kona, HI 96740-9763 Ph: (808) 955-0255 |