DR. CHRISTOPHER MEDINA (NPI# 1669832846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669832846 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER MEDINA |
| Credential | O.D. |
| Practice Address |
Concourse 4 Micronesia Mall Ideal Optical Dededo GU 96929 |
| Mailing Address |
Po Box 24724 Barrigada GU 96921-4724 |
| Practice Telephone | 6716378141 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OL-029 | GU | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OL-029 | GU | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619337417 | Christopher Medina | Hearing Instrument Specialist | 7803 Telegraph Rd Ste B, Montebello, CA 90640-6530 | 2016-03-07 |
| 1568887735 | Christopher Medina | Custodial Care Facility | 6236 Quail Ave, El Paso, TX 79924-4307 | 2014-02-25 |
| 1639707169 | Christopher Medina | Student in an Organized Health Care Education/Training Program | 10175 Gateway Blvd W Ste 100, El Paso, TX 79925-7618 | 2020-03-30 |
| 1386904225 | Christopher Ariel Medina | Neuromusculoskeletal Medicine & OMM | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2012-05-25 |
| 1518030402 | Christopher Carlos Medina | Obstetrics & Gynecology | 101 Jordan Rd, Suite 200, Troy, NY 12180-8343 | 2006-11-16 |
| Street Address |
CONCOURSE 4 MICRONESIA MALL IDEAL OPTICAL |
| City | DEDEDO |
| State | GU |
| Zip Code | 96929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288134 | Benjamin Huyck | Military Health Care Provider | 22061 Carolines Ave, Andersen Afb, GU 96929 | 2019-07-30 |
| 1235782244 | Daniel Shimanski | Military Health Care Provider | 36th Mdos, Bld 26012, Carolines Ave, Andersen Afb, GUAM 96929 | 2019-07-18 |
| 1306304837 | Superdrug-yigo | Pharmacy | 525 Chalan Ramon Haya, Yigo, GU 96929 | 2019-03-04 |
| 1194214668 | Doris Marquez Querimit | Pharmacist | 600 Harmon Loop Road, Ste. 100, Dededo, GU 96929 | 2018-05-09 |
| 1487167995 | Stephanie Taijeron | Nurse Practitioner | 655 Harmon Luke Road, Suite 300, Bededo, GU 96929 | 2017-11-07 |
| 1821542119 | Rachael Marie Sells | Dentist | 36 Mdg Unit 14010, Building 26001, Apo, AP 96929 | 2016-08-04 |
| 1730557760 | Everlino Aben Ramos | Physician Assistant | 26012 Carolines Avenue, Andersen Afb, Yigo, GU 96929 | 2015-09-08 |
| 1679976039 | Tracy Repancal Sunga | Dentist | 505 Harmon Loop Rd. Suite 300, Dededo, GU 96929 | 2014-09-30 |
| 1902215239 | Christina M. Rapadas | Dentist | 505 Harmon Loop Rd., Suite 300, Dededo, GU 96929 | 2014-08-12 |
| 1851735021 | Corazon A Webb | Dentist | 505 Harmon Loop Road, Suite 300, Dededo, GUAM 96929 | 2013-04-18 |
| Find all providers in zip 96929 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053558262 | Vision Express, Usa, Inc | Optometrist | 1088 W. Marine Corp Drive, Suite 140 Micronesia Mall, Dededo, GU 96929-5523 | 2009-01-09 |
| 1366579468 | Pacific Eye Center | Optometrist | 562 Harmon Loop Rd, Ste D2, Dededo, GU 96929 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447611181 | Lorraine S. Sunga | Optometrist | 302 Route 4 Ste 105, Hagatna, GU 96910-4301 | 2016-03-08 |
| 1902097652 | Margie A Agahan | Optometrist | 590 South Marine Drive, Suite 131, Gitc Bldg, Tamuning, GU 96931 | 2007-08-07 |
| 1679634810 | Dante Calleja Garcia | Optometrist | 226 Chalan San Antonio Ste B, Tamuning, GU 96913-3525 | 2006-12-12 |
| 1770539645 | James Grant Christian | Optometrist | 388 Ypao Road, Tamuning, GU 96913 | 2006-05-25 |
| 1417936220 | Christopher Abbott | Optometrist | Farenholt Street Building K-1, Us Naval Hospital Guam, Agana Heights, GU 96919 | 2006-01-10 |
| 1720073927 | Gregory Brammer | Optometrist | 2 Pamela Ct, Baza Gardens, Yona, GU 96915-4552 | 2005-09-13 |
| 1629310875 | Maria Henny Panes Garcia | Optometrist | 226 Chalan San Antonio Ste B, Tamuning, GU 96913-3525 | 2013-03-25 |
| 1124383484 | Joel Mendoza Dizon | Optometrist | 548 S Marine Corps Dr, Tamuning, GU 96913-3539 | 2012-07-11 |
| 1871802579 | Kristina Woesner | Optometrist | 388 Ypao Rd, Tamuning, GU 96913-3701 | 2010-09-29 |
| 1750698494 | Timothy P Brady Dds PC | Optometrist | 140 Punzalan St, Tamuning, GU 96913-3441 | 2010-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.