Healthcare Provider Details

I. General information

NPI: 1730221953
Provider Name (Legal Business Name): FONG VISION CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 08/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 KAPIOLANI BLVD STE. C-204
HONOLULU HI
96813-6012
US

IV. Provider business mailing address

725 KAPIOLANI BLVD STE. C-204
HONOLULU HI
96813-6012
US

V. Phone/Fax

Practice location:
  • Phone: 808-593-8939
  • Fax: 808-593-8307
Mailing address:
  • Phone: 808-593-8939
  • Fax: 808-593-8307

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOD-187
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. RODNEY S.O. FONG
Title or Position: PRESIDENT
Credential: O.D.
Phone: 808-593-8939