NPI 1316103609

Ideal Vision Center LLC

Organisation Clinic/Center Hagatna, GU

Practice location

Address: 302 S Route 4 STE. 105 Agana Shopping Center, Hagatna, GU 96910
Phone: (671) 475-8089
Fax: (671) 475-8089

Authorised official

Name: Lorraine S Sunga
Title: Vice-President/Manager
Phone: (671) 475-8089

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence OL-036 (GU)

Other Clinic/Center providers in Guam →

Registry record

NPI: 1316103609
Entity type: Organization
NPI issued: 6 Aug 2008
Record last updated: 6 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.