Healthcare Provider Details

I. General information

NPI: 1548522840
Provider Name (Legal Business Name): PUNZAL VISION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2012
Last Update Date: 01/14/2020
Certification Date: 01/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4454 NUHOU ST STE 513
LIHUE HI
96766-8022
US

IV. Provider business mailing address

4454 NUHOU ST STE 513
LIHUE HI
96766-8022
US

V. Phone/Fax

Practice location:
  • Phone: 808-278-8383
  • Fax: 808-855-2004
Mailing address:
  • Phone: 808-278-8383
  • Fax: 808-855-2004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JOEL E PUNZAL
Title or Position: OWNER/PRESIDENT
Credential: O.D.
Phone: 808-652-9000