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Contact Information

PACIFIC STAR . INC
641 KEEAUMOKU STREET
SUITE #2
HONOLULU, HI96814
 Phone: 808-941-1004
 Fax: 808-941-1004
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Contact Lens Fitter

156FC0801X
Indicates primary specialty

NPI Profile & details for PACIFIC STAR . INC

NPI # 1598802712
LBN Legal business name PACIFIC STAR . INC
Authorized official KENNY KIM - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2007
Last updated 08/01/2008 - About 18 years ago
Identifiers
HI License # 327
HI Medicaid 04709001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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