Island Eye Center

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ISLAND EYE CENTER

Doing business as

Island Eye Institute

Practice address

415 Chalan San Antonio Ste 214
Tamuning, GU 96913-3620

Phone

(671) 647-5381

Fax

(671) 647-5385

NPI assigned

Mar 26, 2007

Last updated

Jul 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Melissa Reyes Nucum

Title

GM/Coo

Phone

(671) 647-6213

Specialties & licenses 1

Addresses

Other names 1

• Island Eye Institute Doing business as

Medicare fee-for-service enrollment

Enrolled in GU

Enrollment records 1

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Paul Burton, MD

  • Ophthalmology Physician
  • Tamuning, GU
  • NPI 1003884297
  Medicare reassignment Care Compare group NPD
• Robert Stephen Jack, M.D.

  • Ophthalmology Physician
  • Los Angeles, CA
  • NPI 1154338515

  GU

  Medicare reassignment Care Compare group NPD
• Luke Tae Jong Moore, M.D.

  • Ophthalmology Physician
  • Duluth, MN
  • NPI 1023452182

  GU

  Medicare reassignment Care Compare group NPD
• Anthony Jermaine Smith III, MD

  • Ophthalmology Physician
  • Tamuning, GU
  • NPI 1639241060
  Medicare reassignment NPD
• Blake H Horio, MD

  • Retina Specialist (Ophthalmology) Physician
  • Chicago, IL
  • NPI 1205909447

  GU

  Medicare reassignment NPD
• Marjorie Fricke Debenedictis, MD

  • Ophthalmology Physician
  • Tamuning, GU
  • NPI 1659458248
  NPD (past)
• Eyal Margalit, MD, PHD

  • Ophthalmology Physician
  • Tamuning, GU
  • NPI 1366491268
  NPD (past)
• James Vinnie McDarby, MD

  • Ophthalmology Physician
  • Tamuning, GU
  • NPI 1033297403
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1487772000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 214 CHALAN SAN ANTONIO",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "671-647-5381",
            "fax_number": "671-647-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 CHALAN SAN ANTONIO STE 214",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133620",
            "telephone_number": "671-647-5381",
            "fax_number": "671-647-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "NUCUM",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "REYES",
        "authorized_official_title_or_position": "GM/COO",
        "authorized_official_telephone_number": "671-647-6213",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Intercapital Inc. (Omnihealth Home Health)
• Lucy Marie Cruz Iona, FNP
• Isla Home Infusion Inc.
• Isla Pediatrics, PC
• Island Cancer Center Corporation
• Island Medical Specialists PC
• Ariel Arceo Ismael, MD
• Wilaiwan Iyakraisorn
• J P Malilay DDS PC (Family Dental Center)
• Jake Enterprises Inc (Community Pharmacy I)

• Ophthalmology Physician in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Ophthalmology Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.