Margie A Agahan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

GUAM LIC. 016 Issued in GU

Practice address

590 South Marine Drive
Suite 131, Gitc BLDG
Tamuning, GU 96931

Phone

(671) 649-0600

Fax

(671) 649-0666

NPI assigned

Aug 7, 2007

Last updated

Aug 7, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Margie Asdilla Agahan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186444800000",
    "number": "1902097652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 KALAMSA MACHECHE",
            "city": "DEDEDO",
            "state": "GU",
            "postal_code": "96921",
            "telephone_number": "671-649-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 SOUTH MARINE DRIVE",
            "address_2": "SUITE 131, GITC BLDG",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "96931",
            "telephone_number": "671-649-0600",
            "fax_number": "671-649-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAHAN",
        "first_name": "MARGIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GU",
            "license": "GUAM LIC. 016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGIE",
            "last_name": "AGAHAN",
            "middle_name": "ASDILLA",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optometrist in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Optometrist in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.