Provider Demographics
NPI:1336434380
Name:ACE OPTICAL LLC
Entity Type:Organization
Organization Name:ACE OPTICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHI WING
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DIO
Authorized Official - Phone:808-218-0715
Mailing Address - Street 1:1126 12TH AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-3715
Mailing Address - Country:US
Mailing Address - Phone:808-218-0715
Mailing Address - Fax:
Practice Address - Street 1:1126 12TH AVE STE 102
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-3715
Practice Address - Country:US
Practice Address - Phone:808-218-0715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDIO 385332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier