| NPI | 1356654651 |
|---|---|
| Doing Business As | PRO VISION EYE CARE GROUP |
| Entity Type | Organization |
| Authorized Contact | GRADY HOLLENBECK President 808-488-5575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI 710) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI 721) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2010-07-15 |