Organization
AAA EYE CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN TANAKA (OPTOMETRIST)
80895520125
Entity
Organization
Contact information
Practice address
1831 S KING ST, 203, HONOLULU, HI 96826-2137
(808) 955-2015
Mailing address
1831 S KING ST, 203, HONOLULU, HI 96826-2137
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
279
HI
152W00000X
Optometrist
82
HI
Other
Enumeration date
02/09/2007
Last updated
08/22/2020
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