PREMIER VISION LLC (NPI# 1134274590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134274590 |
| Entity Type | Organization |
| Organization Name | PREMIER VISION LLC |
| Practice Address |
2049 Wells St Suite #1 Wailuku HI 96793-2239 |
| Practice Telephone | 8082448034 |
| Practice Fax Number | 8082448035 |
| Mailing Telephone | 8082448034 |
| Mailing Fax Number | 8082448035 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-10-24 |
| Authorized Official Name | DR. COLLEEN MARIKO ICHIYAMA-KONG (OPTOMETRIST) |
| Authorized Official Telephone | 8082448034 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OD478 | HI | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 50181803 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841706934 | Premier Vision LLC | Optometrist | 703 N Main St, Kissimmee, FL 34744-5265 | 2017-12-27 |
| Street Address |
2049 WELLS ST SUITE #1 |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881631422 | Colleen Mariko Ichiyama-kong | Optometrist | 2049 Wells St, Suite #1, Wailuku, HI 96793-2239 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104116532 | Maisha Langella | Optometrist | 450 Hookahi Street, Wailuku, HI 96793-1447 | 2011-04-19 |
| 1770667974 | John James Gillmore | Optometrist | 1787 Wili Pa Loop Ste 8, Wailuku, HI 96793-1271 | 2006-10-24 |
| 1881631422 | Colleen Mariko Ichiyama-kong | Optometrist | 2049 Wells St, Suite #1, Wailuku, HI 96793-2239 | 2006-06-01 |
| 1932723756 | Abigail Grace Timmerman | Optometrist | 450 Hookahi St, Wailuku, HI 96793-1474 | 2020-06-08 |
| 1003080516 | Nina Nemetz | Optometrist | 450 Hookahi St, Wailuku, HI 96793-1474 | 2008-04-15 |
| 1053496091 | Kim H. Kawakami | Optometrist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2006-10-26 |
| 1982799243 | Daniel C. Schiessler | Optometrist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2006-10-04 |
| 1720188501 | Kim E. T. Ginoza | Optometrist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2006-09-22 |
| 1801996681 | Raymond M. Glauser | Optometrist | 80 Mahalani St, Wailuku, HI 96793-2531 | 2006-09-22 |
| 1447298344 | Aloha Eye Clinic, Ltd. | Optometrist | 450 Hookahi St, Wailuku, HI 96793-1474 | 2006-06-03 |
| Find all providers in WAILUKU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.