Organization
BIG ISLAND VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CEDRIC MITSUI OD (PRESIDENT)
(808) 935-3937
Entity
Organization
Contact information
Practice address
899 ULULANI ST, A, HILO, HI 96720
(808) 935-3937
(808) 935-3882
Mailing address
899-A ULULANI STREET, HILO, HI 96720
(808) 935-3937
(808) 935-3882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD320
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075767-01
—
HI
Enumeration date
05/31/2006
Last updated
08/22/2020
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