| NPI | 1902172422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D. BENNETT President 808-955-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2020-03-20 |