Organization
PACIFIC EYEWEAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY SHERRER M.D. (OWNER)
(808) 245-5377
Entity
Organization
Contact information
Practice address
4418 KUKUI GROVE ST, LIHUE, HI 96766-1676
(808) 245-5377
(808) 245-6142
Mailing address
4418 KUKUI GROVE ST, LIHUE, HI 96766-1676
(808) 245-5377
(808) 245-6142
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055164-01
—
HI
Enumeration date
05/04/2007
Last updated
12/19/2007
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