Provider Demographics
NPI:1225682370
Name:IML ISLAND ENTERPRISES INC
Entity Type:Organization
Organization Name:IML ISLAND ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:INNA
Authorized Official - Middle Name:
Authorized Official - Last Name:LITVIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-326-7367
Mailing Address - Street 1:75-1015 HENRY ST STE 700
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-1621
Mailing Address - Country:US
Mailing Address - Phone:808-326-7367
Mailing Address - Fax:
Practice Address - Street 1:75-1015 HENRY ST STE 700
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1621
Practice Address - Country:US
Practice Address - Phone:808-326-7367
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-26
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty