Retina Center of Guam, LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

RETINA CENTER OF GUAM, LLC

Practice address

Retina Center of Guam, LLC
633 Governor Carlos Camacho Rd, Suite 205
Tamuning, GU 96913

Phone

(808) 533-7400

Fax

(808) 521-7798

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. M. Pierre Pang, M.D.

Title

President

Phone

(808) 533-7400

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Vinnie McDarby, MD

  • Ophthalmology Physician
  • Tamuning, GU
  • NPI 1033297403

  Ophthalmology

  NPD (past)
• Anthony Jermaine Smith III, MD

  • Ophthalmology Physician
  • Tamuning, GU
  • NPI 1639241060

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750397014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 N KING ST STE 100",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193462",
            "telephone_number": "808-533-7400",
            "fax_number": "808-521-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RETINA CENTER OF GUAM, LLC",
            "address_2": "633 GOVERNOR CARLOS CAMACHO RD, SUITE 205",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96913",
            "telephone_number": "808-533-7400",
            "fax_number": "808-521-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CENTER OF GUAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "M. PIERRE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-533-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Yuri E Resuma, LPN
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• Miran Ribati, M.D.
• Ricardo B. Eusebio, M.D.
• Gina Ridolfo, PT, DPT

• All providers in Tamuning, GU
• Ophthalmology Physician in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.