Organization
IDEAL VISION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRAINE S SUNGA O.D. (VICE-PRESIDENT/MANAGER)
(671) 475-8089
Entity
Organization
Contact information
Practice address
302 S ROUTE 4, STE. 105 AGANA SHOPPING CENTER, HAGATNA, GU 96910
(671) 475-8089
(671) 475-8089
Mailing address
302 S ROUTE 4, STE. 105 AGANA SHOPPING CENTER, HAGATNA, GU 96910
(671) 475-8089
(671) 475-8089
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OL-036
GU
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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