Organization
EYEWEAR KONA
Active
Other names
Wilby Optical Kona Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DARCY THOMPSON SL40636 (CEO)
(925) 525-1341
Entity
Organization
Contact information
Practice address
75-167 HUALALAI RD, KAILUA KONA, HI 96740-1714
(808) 329-9308
Mailing address
75-167 HUALALAI RD, KAILUA KONA, HI 96740-1714
(808) 329-9308
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
SL40636
CA
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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