NPI | 1730221953 |
---|---|
Entity Type | Organization |
Authorized Contact | RODNEY S.O. FONG President 808-593-8939 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD-187) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-02-13 |
Last Update Date | 2008-08-21 |