Mr Joel Mendoza Dizon, OD | |
548 S Marine Corps Dr, Tamuning, GU 96913-3539 | |
(671) 646-5825 | |
(671) 647-3556 |
Full Name | Mr Joel Mendoza Dizon |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 548 S Marine Corps Dr, Tamuning, Guam |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124383484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OL-026 (Guam) | Primary |
Provider Name | Pacific Eye Group Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1831656925 PECOS PAC ID: 1355682246 Enrollment ID: O20190402001264 |
Mailing Address | Practice Location Address |
---|---|
Mr Joel Mendoza Dizon, OD Po Box 6578, Tamuning, GU 96931-6578 Ph: (671) 646-6956 | Mr Joel Mendoza Dizon, OD 548 S Marine Corps Dr, Tamuning, GU 96913-3539 Ph: (671) 646-5825 |
Dr. John Junghyun Kim, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-646-8881 Fax: 671-646-1292 | |
Miss Marlene R San Nicolas, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 415 Chalan San Antonio, Suite 111-113, Tamuning, GU 96913 Phone: 671-648-3350 Fax: 671-647-3546 | |
Cuong Ngoc Huynh, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 761 S Marine Corps Dr, 2020 Vision Center Cen Tam Bldg Ste A1, Tamuning, GU 96913 Phone: 671-646-3001 Fax: 671-649-3001 | |
Mr. Jay Joseph Mcdonald, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 548 South Marine Corps Drive, Tamuning, GU 96913 Phone: 671-646-5824 Fax: 671-647-3546 | |
Dr. Jeannette F Storey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 388 Ypao Rd, Tamuning, GU 96913 Phone: 671-646-8881 Fax: 671-648-5557 | |
Dr. Julian C Archer, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1234 N Marine Corps Dr Ste 202, Tamuning, GU 96913 Phone: 671-989-4747 Fax: 671-989-4743 |