Optical Dispensers of Hilo, INC

NPI #1164579421 in Hilo, Hawaii

Provider Information

NPI Number: 1164579421
Entity Type: Organization
Organization Name: Optical Dispensers of Hilo, INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Jan 5, 2007
Last Updated: Nov 29, 2007

Practice Location

Address: 1251 KILAUEA AVE
Address 2: 190B
City: Hilo
State: Hawaii
ZIP Code: 96720-4205
Phone: (808) 935-1957

Authorized Official

Name: CARLTON FUKUNAGA
Title: PRESIDEN MANAGER
Phone: (808) 935-1957

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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