Provider Demographics
NPI:1912066317
Name:CASUGA, LIANE NALANI (OD)
Entity type:Individual
Prefix:MRS
First Name:LIANE
Middle Name:NALANI
Last Name:CASUGA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:LIANE
Other - Middle Name:NALANI
Other - Last Name:HAYASHI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:1020 AOLOA PLACE
Mailing Address - Street 2:#205A
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734
Mailing Address - Country:US
Mailing Address - Phone:808-263-9704
Mailing Address - Fax:808-263-9706
Practice Address - Street 1:95 550 LANIKUHANA AVENUE
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789
Practice Address - Country:US
Practice Address - Phone:808-623-0702
Practice Address - Fax:808-623-9677
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2020-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI268152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist