Organization
BIG ISLAND OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY C HIRONAGA (VICE-PRESIDENT)
(808) 935-1360
Entity
Organization
Contact information
Practice address
1216 KINOOLE ST, HILO, HI 96720-4134
(808) 935-1360
(808) 935-1383
Mailing address
1216 KINOOLE ST, HILO, HI 96720-4134
(808) 935-1360
(808) 935-1383
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
W20294426-01
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08143202
—
HI
Enumeration date
06/08/2006
Last updated
03/16/2021
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