IndividualActive
Christopher Medina, O.D.
NPI 1669832846 · Optometrist · Dededo, GU
Provider details
- NPI number
- 1669832846
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- OL-029 (GU)
Specialties & taxonomies
Eye and Vision Services Providers
Eye and Vision Services Providers
Practice location
Concourse 4 Micronesia Mall
Ideal Optical
Dededo, GU 96929
Phone: (671) 637-8141
Mailing address
Po Box 24724
Barrigada, GU 96921-4724
Registry dates
- Enumerated
- 2016-03-01
- Last updated
- 2016-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.