Provider Demographics
NPI:1316733223
Name:SHAKA VISION, LLC
Entity type:Organization
Organization Name:SHAKA VISION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-715-5092
Mailing Address - Street 1:2852 IHOLANI ST
Mailing Address - Street 2:
Mailing Address - City:MAKAWAO
Mailing Address - State:HI
Mailing Address - Zip Code:96768-8731
Mailing Address - Country:US
Mailing Address - Phone:215-715-5092
Mailing Address - Fax:
Practice Address - Street 1:275 W KAAHUMANU AVE STE 1010
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-1612
Practice Address - Country:US
Practice Address - Phone:808-870-2500
Practice Address - Fax:719-884-1319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-17
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty