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General NPI Number Information
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NPI Number | 1821308396
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Entity Type | Organization
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Legal Business Name | SCHOFIELD VISION CENTER, INC.
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Dates
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Enumeration Date | 10/18/2010
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Last Update Date | 10/18/2010
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Provider Practice Location Address
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Address Line | BLDG 694 POST EXCHANGE SUITE 11
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City | SCHOFIELD BARRACKS
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State | HI
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Zip | 96857
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Country | US
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Telephone | 808-748-8900
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Fax | 808-748-8941
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Provider Business Mailing Address
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Address Line | 126 NEFF ST PMB 408
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City | WAHIAWA
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State | HI
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Zip | 96786-3626
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Country | US
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Telephone | 808-748-8900
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Fax | 808-748-8941
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PEILI LIN
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Credential | O.D.
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Telephone | 808-748-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 498
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License Number State | HI
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