NPI 1669832846

Christopher Medina, OD

Practitioner Optometrist Dededo, GU

Practice location

Address: Concourse 4 Micronesia Mall Ideal Optical, Dededo, GU 96929
Phone: (671) 637-8141
Mailing address: PO Box 24724, Barrigada, GU 96921-4724

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OL-029 (GU)

Other Optometrist providers in Guam →

Corneal and Contact Management Optometrist

Eye and Vision Services Providers Taxonomy 152WC0802X Licence OL-029 (GU)

Registry record

NPI: 1669832846
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2016
Record last updated: 1 Mar 2016

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.