Provider Demographics
NPI:1548522840
Name:PUNZAL VISION LLC
Entity type:Organization
Organization Name:PUNZAL VISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:PUNZAL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:808-652-9000
Mailing Address - Street 1:4454 NUHOU ST STE 513
Mailing Address - Street 2:
Mailing Address - City:LIHUE
Mailing Address - State:HI
Mailing Address - Zip Code:96766-8022
Mailing Address - Country:US
Mailing Address - Phone:808-278-8383
Mailing Address - Fax:808-855-2004
Practice Address - Street 1:4454 NUHOU ST STE 513
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-8022
Practice Address - Country:US
Practice Address - Phone:808-278-8383
Practice Address - Fax:808-855-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty