NPI | 1720195399 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACI L. S. SCHMALLE-JACOBS Owner/Manager 808-455-5650 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: HI 594) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2012-08-24 |