| NPI | 1043188022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE D MATHSON Director Of Business Development 808-430-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1201X Technician/Technologist, Optometric Assistant |
| 156F00000X Technician/Technologist | |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2025-10-29 |