| Organization Name: | EYEWEAR KONA INC |
| NPI Number: | 1043376742 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALVIN TSUYOSHI FUJIMOTO (PRESIDENT) |
| Mailing Address: | 75167 Hualalai Road Kailua Kona |
| State: | HI US |
| Postal Code: | 96740 |
| Phone Number: | 8083299308 |
| Fax Number: | 8083299309 |
| NPI Enumeration Date: | 12/28/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | DIO91 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |