Dr. Jivin Gerard Tantisira

M.D. | Ophthalmologist | 37+ years Exp


  
450 Hookahi St, Wailuku
Hawaii, 96793-1447

 808-877-3984     808-871-6498Maps & Directions
Dr. Jivin Gerard Tantisira is a Wailuku, Hawaii based male Ophthalmologist with 37 years of experience in Ophthalmology. He completed his graduation from Yale University School Of Medicine in 1987. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jivin Gerard Tantisira is MD 9427 for Ophthalmology in Hawaii.
Dr. Jivin Gerard Tantisira is medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, patients can be prescribed vision services, including glasses and contact lenses.


Complete Profile:
Dr. Jivin Gerard Tantisira speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Ophthalmology
Credentials: M.D.
Experience: 37+ years
Medical School Attended:Yale University School Of Medicine
Graduation Year:1987
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:450 Hookahi St, Wailuku,
Hawaii, 96793-1447
Phone:808-877-3984
Fax:808-871-6498
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 4587694252
Enrollment ID: I20090813000614
NPI Number: 1104889583
NPI Enumeration Date: 07 Apr, 2006
NPI Last Update On: 30 Aug, 2023

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jivin Gerard Tantisira are as mentioned below.
License NumberSpecializationStateStatus
MD 9427Ophthalmology HawaiiPrimary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Jivin Gerard Tantisira has association with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Aloha Eye Clinic, Ltd (0941190805)9
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jivin Gerard Tantisira such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
1447298344OtherHawaiiALOHA EYE CLINIC, LTD. NPI ID
20992-4OtherHawaiiHMSA
00264901MedicaidHawaii
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 450 Hookahi St,
Wailuku, Hawaii
Zip: 96793-1474
Phone Number: 808-877-3984
Fax Number: 808-871-6498
Patients can reach Dr. Jivin Gerard Tantisira at 450 Hookahi St, Wailuku, Hawaii or can call to book an appointment on 808-877-3984. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.
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