Organization
EYE GALLERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA VAN O.D. (MANAGING MEMBER)
(808) 875-4466
Entity
Organization
Contact information
Practice address
380 HUKU LII PL, SUITE 107, KIHEI, HI 96753-7043
(808) 875-4466
(808) 874-3899
Mailing address
380 HUKU LII PL, SUITE 107, KIHEI, HI 96753-7043
(808) 875-4466
(808) 874-3899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
644
HI
Other
Enumeration date
12/10/2008
Last updated
06/02/2014
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