Organization
VISION SOURCE KAILUA- LLC
Active
Other names
Dr. Guy M Nishizawa, O.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA JEAN SOARES O (OFFICE MANAGER)
(808) 262-2330
Entity
Organization
Contact information
Practice address
45 AULIKE ST, SUITE 47, KAILUA, HI 96734-2708
(808) 262-2330
(808) 261-5423
Mailing address
45 AULIKE ST, SUITE 47, KAILUA, HI 96734-2708
(808) 262-2330
(808) 261-5423
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
135
HI
Other
Enumeration date
03/13/2007
Last updated
04/06/2010
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