| NPI | 1346363363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY L LEE Member 808-246-0051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD601) |
| Additional Taxonomies | 156FX1100X Technician/Technologist, Ophthalmic (Licence: HI MD5846) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-11-15 |