Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miss. Marlene R San Nicolas, OD

Individual provider Optometrist · NPI 1154381515

Miss. Marlene R San Nicolas, OD is an Optometry in Tamuning, Guam. Graduated from Pacific University - College of Optometry in 1992, 34 years ago. Practices with Takecare Insurance Company Inc, a 28-clinician group and accepts Medicare assignment. Licensed in Guam.

Years since qualifying
34
Trained at
Pacific University - College of Optometry
Licensed in
GU
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

415 Chalan San Antonio Ste 111-113
Tamuning, GU 96913-3620
Phone: (671) 648-3350
Fax: (671) 647-3546

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OL027 (GU)

Record details

NPI number1154381515
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedMarch 28, 2006
Last updated in NPPESFebruary 27, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 1992 (34 years in practice)
Group practice Takecare Insurance Company Inc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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