Organization · Type 2 NPI
Ideal Vision Center LLC
Clinic/Center · Hagatna, GU
NPI number
1316103609
Active
Practice location
302 S Route 4, Ste. 105 Agana Shopping Center
Hagatna, GU 96910
Fax (671) 475-8089
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | OL-036 (GU) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2 other providers at this address
Other clinic/center providers in Hagatna
About NPI 1316103609
Ideal Vision Center LLC's National Provider Identifier is 1316103609, issued on Aug 6, 2008. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Hagatna, GU. The record was last updated on Aug 6, 2008.