Pro Vision Express

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PRO VISION EXPRESS

Practice address

98-1005 Moanalua Rd SPC 821
Aiea, HI 96701-4710

Phone

(808) 488-5552

Fax

(808) 488-5590

NPI assigned

Jul 13, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Timothy John Sullivan

Title

President

Phone

(925) 577-3351

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1013229491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 821",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014710",
            "telephone_number": "808-488-5552",
            "fax_number": "808-488-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 821",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014710",
            "telephone_number": "808-488-5552",
            "fax_number": "808-488-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO VISION EXPRESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-13",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-577-3351",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Aiea, HI
• Providers in Aiea, HI by specialty
• Eyewear Supplier in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.