Medina, Christopher
Medina, Christopher is an sole proprietor health care provider with primary practice located at Concourse 4 Micronesia Mall Ideal Optical, Dededo GU 96929. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Medina, Christopher can be contacted via phone (671) 637-8141.Contact Information
Primary practice address
Concourse 4 Micronesia Mall Ideal Optical
Dededo GU 96929
Phone: (671) 637-8141
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OL-029 | Guam |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OL-029 | Guam |
Profile Details
| NPI number | 1669832846 |
|---|---|
| LBN Legal business name | Medina, Christopher |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 1st, 2016 |
| Last updated | Mar 1st, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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