| NPI | 1447298344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIVIN TANTISIRA President 808-877-3984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: HI MD-9427) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI OD-809) |
| 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery (Licence: HI MD-9427) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-08-30 |