Vision Express, USA, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPL-019 Issued in GU

Legal business name

VISION EXPRESS, USA, INC

Practice address

1088 W. Marine Corp Drive
Suite 140 Micronesia Mall
Dededo, GU 96929-5523

Phone

(671) 633-3937

Fax

(671) 633-1006

NPI assigned

Jan 9, 2009

Organization subpart

Yes

Parent organization

VISION EXPRESS, USA, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Roy Michael Guzman

Title

Store Manager

Phone

(671) 633-3937

Specialties & licenses 1

Addresses

Part of

Vision Express USA Inc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1053558262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 W. MARINE CORP DRIVE",
            "address_2": "SUITE 140 MICRONESIA MALL",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969295523",
            "telephone_number": "671-633-3937",
            "fax_number": "671-633-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W. MARINE CORP DRIVE",
            "address_2": "SUITE 140 MICRONESIA MALL",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "969295523",
            "telephone_number": "671-633-3937",
            "fax_number": "671-633-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION EXPRESS, USA, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VISION EXPRESS, USA, INC",
        "enumeration_date": "2009-01-09",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "STORE MANAGER",
        "authorized_official_telephone_number": "671-633-3937",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GU",
            "license": "OPL-019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Dededo, GU
• Optometrist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.