Organization
ISLAND EYE CENTER
Active
Other names
Island Eye Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA REYES NUCUM (GM/COO)
(671) 647-6213
Entity
Organization
Contact information
Practice address
415 CHALAN SAN ANTONIO STE 214, TAMUNING, GU 96913-3620
(671) 647-5381
(671) 647-5385
Mailing address
415 214 CHALAN SAN ANTONIO, TAMUNING, GU 96913
(671) 647-5381
(671) 647-5385
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
I0096079
—
GU
Enumeration date
03/26/2007
Last updated
07/13/2020
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