Premier Vision LLC

NPI #1134274590 in Wailuku, Hawaii

Provider Information

NPI Number: 1134274590
Entity Type: Organization
Organization Name: Premier Vision LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 24, 2007
Last Updated: Oct 24, 2007

Practice Location

Address: 2049 WELLS ST
Address 2: SUITE #1
City: Wailuku
State: Hawaii
ZIP Code: 96793-2239
Phone: (808) 244-8034

Authorized Official

Name: DR. COLLEEN MARIKO ICHIYAMA-KONG, O.D.
Title: OPTOMETRIST
Phone: (808) 244-8034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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