Whalio Doctors

NPI 1093702615

John Junghyun Kim, OD

Practitioner Optometrist Tamuning, GU

Practice location

Address
388 Ypao Rd, Tamuning, GU 96913-3701
Phone
(671) 646-8881
Fax
(671) 646-1292

Registered specialties (2)

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence OL-050 (GU)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence 11675T (CA)

Registry record

NPI
1093702615
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Sep 2005
Record last updated
16 Oct 2022

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.