Organization
PRO VISION EYE CARE GROUP, INC.
Active
Other names
Pro Vision Eye Care Group
Organization subpart
No
Provider details
NPI number
Authorized official
GRADY HOLLENBECK O.D. (PRESIDENT)
(808) 488-5575
Entity
Organization
Contact information
Practice address
98-1005 MOANALUA RD SPC 821, AIEA, HI 96701-4710
(808) 488-5575
Mailing address
98-1005 MOANALUA RD SPC 821, AIEA, HI 96701-4710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
710
HI
152W00000X
Optometrist
721
HI
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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