Healthcare Provider Details

I. General information

NPI: 1417739301
Provider Name (Legal Business Name): VISIONEMETZ OPTOMETRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68-1820 WAIKOLOA RD STE 305
WAIKOLOA HI
96738-5597
US

IV. Provider business mailing address

68-1820 WAIKOLOA RD STE 305
WAIKOLOA HI
96738-5597
US

V. Phone/Fax

Practice location:
  • Phone: 808-909-2048
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NINA M NEMETZ
Title or Position: OPTOMETRIST
Credential: OD
Phone: 808-633-3339