| NPI | 1407039217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR G.M. TOM Owner 808-247-3063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI 615) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI 102) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2013-12-13 |