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Organization

PACIFIC STAR . INC

Active
Other names
Seoul Optical
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNY LOCK KIM D.O (OWNER)
(808) 941-1004
Entity
Organization

Contact information

Practice address
641 KEEAUMOKU STREET, SUITE #2, HONOLULU, HI 96814
(808) 941-1004
(808) 941-1004
Mailing address
641 KEEAUMOKU STREET, # 17, HONOLULU, HI 96814
(808) 941-1004
(808) 941-1004

Taxonomy

Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
327
HI
156FX1800X
Optician
Primary
327
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04709001
HI
Enumeration date
01/30/2007
Last updated
08/01/2008
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