Marianas Eye Institute Inc | |
503900 Mooty, 13 Fishermen Beachroad, Garapan, Saipan, MP 96950-3900 | |
(670) 235-9090 | |
(670) 235-9091 |
Full Name | Marianas Eye Institute Inc |
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Type | Facility |
Speciality | Ophthalmology |
Location | 503900 Mooty, Saipan, Northern Mariana Islands |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023168010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 0015 (Northern Mariana Islands) | Secondary |
207W00000X | Ophthalmology | 0102 (Northern Mariana Islands) | Primary |
Provider Name | Koorosh David Khorram |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1902960644 PECOS PAC ID: 3274422043 Enrollment ID: I20051018000593 |
Provider Name | Marjorie F Debenedictis |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1659458248 PECOS PAC ID: 7618983149 Enrollment ID: I20060508000632 |
Provider Name | Mark D Robertson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720142466 PECOS PAC ID: 8022277045 Enrollment ID: I20120312000427 |
Provider Name | Edward C Godnig |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730186867 PECOS PAC ID: 2365549656 Enrollment ID: I20120501000437 |
Provider Name | Dennis L Williams |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1386698116 PECOS PAC ID: 4486640091 Enrollment ID: I20140620001659 |
Provider Name | Connie Meredith |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1972504819 PECOS PAC ID: 6406807536 Enrollment ID: I20180515002277 |
Provider Name | Keri F Allen |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1487948543 PECOS PAC ID: 0143654475 Enrollment ID: I20191219002325 |
Provider Name | Dean Brown |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821051400 PECOS PAC ID: 6406916261 Enrollment ID: I20220526002752 |
Provider Name | Artin Monghate |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1710697156 PECOS PAC ID: 9436505393 Enrollment ID: I20231028000217 |
Mailing Address | Practice Location Address |
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Marianas Eye Institute Inc Po Box 503900, Saipan, MP 96950-3900 Ph: (670) 235-9090 | Marianas Eye Institute Inc 503900 Mooty, 13 Fishermen Beachroad, Garapan, Saipan, MP 96950-3900 Ph: (670) 235-9090 |