Whalio Doctors

NPI 1356654651

Pro Vision Eye Care Group, INC.

Organisation Optometrist Aiea, HI

Practice location

Address
98-1005 Moanalua Rd Spc 821, Aiea, HI 96701-4710
Phone
(808) 488-5575

Authorised official

Name
Grady Hollenbeck
Title
President
Phone
(808) 488-5575

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence 710 (HI)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 721 (HI)

Registry record

NPI
1356654651
Entity type
Organization
NPI issued
15 Jul 2010
Record last updated
15 Jul 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.