James Grant Christian, O.D.
Individual provider Active NPI Optometrist · Tamuning, GU
NPI 1770539645 · NPPES record last updated Jun 1, 2008
Key facts
- NPI
- 1770539645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OL-039 (GU)
- Practice address
- 388 Ypao Road
Tamuning, GU 96913 - Phone
- (671) 646-8881
- Fax
- (671) 646-1291
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OL-039 | GU | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OL-039 | GU | Yes |
Addresses
Primary practice location
388 Ypao Road
Tamuning, GU 96913
Mailing address
Guam Seventh-Day Adventist Clinic 388 Ypao Road
Tamuning, GU 96913
Phone (671) 646-8881
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OL-039 | Other | GU | STATE LICENSE |
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 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.