Jivin G Tantisira (NPI# 1104889583, PAC ID# 4587694252) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1104889583 |
| PAC ID by PECOS | 4587694252 |
| Professional Enrollment ID | I20090813000614 |
| Full Name | Jivin G Tantisira |
| Organization Legal Name | ALOHA EYE CLINIC, LTD |
| Address |
450 Hookahi St Wailuku HI 96793-1474 |
| Phone Number | 8088773984 |
| Gender | M |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 0941190805 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 450 Hookahi St, Wailuku, HI 96793-1474 | 8088773984 | ALOHA EYE CLINIC, LTD |
| Organization Legal Name | ALOHA EYE CLINIC, LTD |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nina M Nemetz | Optometry | Aloha Eye Clinic, Ltd | 1300 N Holopono St, Suite 109, Kihei, HI 96753-6946 |
| Sarah C Kasai | Optometry | Aloha Eye Clinic, Ltd | 1300 N Holopono St, Suite 109, Kihei, HI 96753-6946 |
| Thomas Kropp | Ophthalmology | Aloha Eye Clinic, Ltd | 1300 N Holopono St, Suite 109, Kihei, HI 96753-6946 |
| Uma D Chaluvadi | Ophthalmology | Aloha Eye Clinic, Ltd | 1300 N Holopono St, Suite 109, Kihei, HI 96753-6946 |
| David M Anzai | Optometry | Aloha Eye Clinic, Ltd | 1300 N Holopono St, Suite 109, Kihei, HI 96753-6946 |
| Jeffery A Guild | Optometry | Aloha Eye Clinic, Ltd | 1300 N Holopono St, Suite 109, Kihei, HI 96753-6946 |
| Gerald D Carp | Ophthalmology | Aloha Eye Clinic, Ltd | 1300 N Holopono St, Suite 109, Kihei, HI 96753-6946 |
| Street Address |
450 HOOKAHI ST |
| City | WAILUKU |
| State | HI |
| Zip | 96793-1474 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soren Carlsen | Urology | 1883 Mill St, Wailuku, HI 96793-1236 | |
| Robert D Lanser Jr. | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| David J Wittenberg | Psychologist, Clinical | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Bahram Taghavi | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Margaret E Goldberg | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| George L Carlson | Addiction Medicine | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Connie J Debord | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Joel Tapler | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Royal Randolph Jr. | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Sharilyn Jane Butteling | Nurse Practitioner | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Find all physicians in zip 96793 | |||
| City | WAILUKU |
| Zip Code | 96793 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | WAILUKU + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jivin G Tantisira.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.