Organization
PACIFIC EYE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL MENDOZA DIZON OD (PRESIDENT)
(671) 637-9889
Entity
Organization
Contact information
Practice address
562 HARMON LOOP RD, STE D2, DEDEDO, GU 96929
(671) 637-9889
(671) 632-5558
Mailing address
562 HARMON LOOP RD, STE D2, DEDEDO, GU 96929
(671) 637-9889
(671) 632-5558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OL026
GU
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D3816501
—
GU
Enumeration date
02/27/2007
Last updated
06/17/2008
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