| Ideal Vision Center Llc | |
|
302 S Route 4 Ste. 105 Agana Shopping Center Hagatna GU 96910 | |
| (671) 475-8089 | |
| (671) 475-8089 |
| Full Name | Ideal Vision Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 302 S Route 4, Hagatna, Guam |
| Authorized Official Name and Position | Lorraine S Sunga (VICE-PRESIDENT/MANAGER) |
| Authorized Official Contact | 6714758089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ideal Vision Center Llc 302 S Route 4 Ste. 105 Agana Shopping Center Hagatna GU 96910 Ph: (671) 475-8089 | Ideal Vision Center Llc 302 S Route 4 Ste. 105 Agana Shopping Center Hagatna GU 96910 Ph: (671) 475-8089 |
| NPI Number | 1316103609 |
|---|---|
| Provider Enumeration Date | 08/06/2008 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316103609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | OL-036 (Guam) | Primary |
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