Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jivin Gerard Tantisira, MD

Individual provider Ophthalmology Physician · NPI 1104889583

Dr. Jivin Gerard Tantisira, MD is an Ophthalmology in Wailuku, Hawaii. Graduated from Yale University School of Medicine in 1987, 39 years ago. Practices with Aloha Eye Clinic, Ltd, an 8-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
39
Trained at
Yale University School of Medicine
Licensed in
HI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

450 Hookahi St
Wailuku, HI 96793-1447
Phone: (808) 877-3984
Fax: (808) 871-6498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD 9427 (HI)

Record details

NPI number1104889583
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 7, 2006
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolYALE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Aloha Eye Clinic, Ltd — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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