NPI | 1013603380 |
---|---|
Doing Business As | ADVANCED VISION WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | MAISHA LANGELLA Owner 808-677-7727 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2023-04-11 |
Last Update Date | 2024-10-11 |