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Organization

OPTICAL DISPENSERS OF HILO, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLTON FUKUNAGA (PRESIDEN MANAGER)
(808) 935-1957
Entity
Organization

Contact information

Practice address
1251 KILAUEA AVE, 190B, HILO, HI 96720-4205
(808) 935-1957
Mailing address
1251 KILAUEA AVE, 190B, HILO, HI 96720-4205
(808) 935-1957

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
HI

Other

Enumeration date
01/05/2007
Last updated
11/29/2007
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