| Premier Vision Llc | |
|
2049 Wells St, Suite #1, Wailuku, HI 96793-2239 | |
| (808) 244-8034 | |
| (808) 244-8035 |
| Full Name | Premier Vision Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2049 Wells St, Wailuku, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134274590 | NPI | - | NPPES |
| 50181803 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OD478 (Hawaii) | Primary |
| Provider Name | Colleen M Ichiyama-kong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881631422 PECOS PAC ID: 8022909357 Enrollment ID: I20050824000875 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Vision Llc 2049 Wells St, Suite #1, Wailuku, HI 96793-2239 Ph: (808) 244-8034 | Premier Vision Llc 2049 Wells St, Suite #1, Wailuku, HI 96793-2239 Ph: (808) 244-8034 |
Dr. Nicole Pacer, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 450 Hookahi St, Wailuku, HI 96793 Phone: 808-877-3984 | |
Kim H. Kawakami, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 80 Mahalani St, Wailuku, HI 96793 Phone: 808-243-6000 | |
Dr. Evone K. Wong, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 80 Mahalani St, Wailuku, HI 96793 Phone: 808-243-6000 | |
Aloha Eye Clinic, Ltd. Optometrist Medicare: Medicare Enrolled Practice Location: 450 Hookahi St, Wailuku, HI 96793 Phone: 808-877-3984 Fax: 808-871-6498 | |
Kim E. T. Ginoza, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 80 Mahalani St, Wailuku, HI 96793 Phone: 808-243-6000 | |
Dr. John James Gillmore, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1787 Wili Pa Loop Ste 8, Wailuku, HI 96793 Phone: 808-242-8988 |