IndividualActive
Joel Dizon, O.D.
NPI 1124383484 · Optometrist · Tamuning, GU
Provider details
- NPI number
- 1124383484
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- OL-026 (GU)
Practice location
548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone: (671) 646-5825
Fax: (671) 647-3556
Mailing address
Po Box 6578
Tamuning, GU 96931-6578
Registry dates
- Enumerated
- 2012-07-11
- Last updated
- 2012-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.