Ideal Vision Center LLC
Organization Active NPI Clinic/Center · Hagatna, GU
NPI 1316103609 · NPPES record last updated Aug 6, 2008
Key facts
- NPI
- 1316103609
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- OL-036 (GU)
- Legal business name
- IDEAL VISION CENTER LLC
- Practice address
- 302 S Route 4
Ste. 105 Agana Shopping Center
Hagatna, GU 96910 - Phone
- (671) 475-8089
- Fax
- (671) 475-8089
- NPI assigned
- Aug 6, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Lorraine S Sunga, O.D.
- Title
- Vice-President/Manager
- Phone
- (671) 475-8089
Practitioners 1
-
Lorraine S. Sunga, O.D.
National Provider Directory
Locations
302 Route 4
Ste 105
Hagatna, GU 96910
Phone (671) 475-8089
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | OL-036 | GU | Yes |
Addresses
Primary practice location
302 S Route 4
Ste. 105 Agana Shopping Center
Hagatna, GU 96910
Mailing address
302 S Route 4
Ste. 105 Agana Shopping Center
Hagatna, GU 96910
Phone (671) 475-8089
Other providers in Hagatna, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.