Provider Demographics
NPI:1992759146
Name:RETINA ASSOCIATES OF HAWAII, INC.
Entity type:Organization
Organization Name:RETINA ASSOCIATES OF HAWAII, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:HUEY
Authorized Official - Last Name:DROUILHET
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACS
Authorized Official - Phone:808-521-8483
Mailing Address - Street 1:1329 LUSITANA ST
Mailing Address - Street 2:SUITE 502
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2429
Mailing Address - Country:US
Mailing Address - Phone:808-521-8483
Mailing Address - Fax:
Practice Address - Street 1:1329 LUSITANA ST
Practice Address - Street 2:SUITE 502
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2429
Practice Address - Country:US
Practice Address - Phone:808-521-8483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2509174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIB10443Other65C PLUS
HIB10443OtherHMSA
HI01005301Medicaid
HI=========OtherAARP
HI=========OtherBLUE CROSS/BLUE SHEILD
HI01005301Medicaid
HI=========OtherHEALTHCARE MANAGEMENT CO.
HIB10443Other65C PLUS
HIB10443OtherHMSA
HI=========OtherUNIVERSITY HEALTH ALLIANC
HI=========OtherAETNA LIFE AND CASUALTY
HI=========OtherAETNA LIFE AND CASUALTY
HIHS2065Medicare ID - Type Unspecified