Organization
PRO VISION EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY JOHN SULLIVAN (PRESIDENT)
(925) 577-3351
Entity
Organization
Contact information
Practice address
98-1005 MOANALUA RD SPC 821, AIEA, HI 96701-4710
(808) 488-5552
(808) 488-5590
Mailing address
98-1005 MOANALUA RD SPC 821, AIEA, HI 96701-4710
(808) 488-5552
(808) 488-5590
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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