Provider Demographics
NPI:1992870034
Name:FAMILY VISION CARE, INC.
Entity type:Organization
Organization Name:FAMILY VISION CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KATO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-693-8789
Mailing Address - Street 1:563 FARRINGTON HWY
Mailing Address - Street 2:SUITE 205
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2031
Mailing Address - Country:US
Mailing Address - Phone:808-693-8789
Mailing Address - Fax:808-693-8790
Practice Address - Street 1:563 FARRINGTON HWY
Practice Address - Street 2:SUITE 205
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2031
Practice Address - Country:US
Practice Address - Phone:808-693-8789
Practice Address - Fax:808-693-8790
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD-530152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH53610Medicare PIN