| NPI | 1770623373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA VICTORINO Dr.'S Assistant 808-949-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD571) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI OD260) |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: HI OD260) | |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: HI OD571) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2010-12-07 |