Maria Henny Panes Garcia, O.D.

Key facts

NPI

1629310875

Entity type

Individual (NPI type 1)

Primary specialty

Optometrist 152W00000X

License

OL-018 (GU)

Practice address

226 Chalan San Antonio Ste B
Tamuning, GU 96913-3525

Phone

(671) 646-4152

Fax

(671) 646-4153

NPI assigned

Mar 25, 2013

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 25, 2013.

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1629310875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 CHALAN SAN ANTONIO STE B",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133525",
            "telephone_number": "671-646-9142",
            "fax_number": "671-646-4153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 CHALAN SAN ANTONIO STE B",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133525",
            "telephone_number": "671-646-4152",
            "fax_number": "671-646-4153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MARIA HENNY",
        "middle_name": "PANES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GU",
            "license": "OL-018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anna Lou Caranay Garces, GENRAL MANAGER
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• Dante Calleja Garcia
• Erickson Gascon, PT
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• Ellen Louise Gesenhues

All providers in Tamuning, GU · Optometrist in Guam