| NPI | 1558402727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN TANAKA Optometrist 8089-552-0125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI 279) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI 82) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |