Ideal Vision Center LLC

NPI #1316103609 in Hagatna, Guam

Provider Information

NPI Number: 1316103609
Entity Type: Organization
Organization Name: Ideal Vision Center LLC
Primary Specialty: Clinic/Center
Enumeration Date: Aug 6, 2008
Last Updated: Aug 6, 2008

Practice Location

Address: 302 S ROUTE 4
Address 2: STE. 105 AGANA SHOPPING CENTER
City: Hagatna
State: Guam
ZIP Code: 96910
Phone: (671) 475-8089

Authorized Official

Name: DR. LORRAINE S SUNGA, O.D.
Title: VICE-PRESIDENT/MANAGER
Phone: (671) 475-8089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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