NPI 1124383484

Joel Mendoza Dizon, OD

Practitioner Optometrist Tamuning, GU

Practice location

Address: 548 S Marine Corps Dr, Tamuning, GU 96913-3539
Phone: (671) 646-5825
Fax: (671) 647-3556
Mailing address: PO Box 6578, Tamuning, GU 96931-6578

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OL-026 (GU)

Other Optometrist providers in Guam →

Registry record

NPI: 1124383484
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2012
Record last updated: 11 Jul 2012

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.