Provider Demographics
NPI:1902091770
Name:LUI, LAI & ASSOCIATES, INC
Entity Type:Organization
Organization Name:LUI, LAI & ASSOCIATES, INC
Other - Org Name:MID PACIFIC EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:K
Authorized Official - Last Name:LUI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-947-0111
Mailing Address - Street 1:1580 MAKALOA ST
Mailing Address - Street 2:SUITE 590
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3237
Mailing Address - Country:US
Mailing Address - Phone:808-947-0111
Mailing Address - Fax:808-955-2523
Practice Address - Street 1:1580 MAKALOA ST
Practice Address - Street 2:SUITE 590
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3237
Practice Address - Country:US
Practice Address - Phone:808-947-0111
Practice Address - Fax:808-955-2523
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LUI, LAI & ASSOCIATES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIOD210152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI020184-02Medicaid
HI020184-02Medicaid