| NPI | 1235789843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA CHUNG President 808-800-2718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2024-04-16 |