Doctor Name: | DR. ALEXANDER CHUKWUEMEKA NNABUE |
NPI Number: | 1043382450 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D |
License Number: | TA1277 |
Business Practice Address: | 10240 Lake Arbor Way Mitchellville, MD - 207213113 |
Business Phone Number: | 3013249500 |
Business Fax Number: | 3013249502 |
Mailing Address: | 317 Haviland Mill Rd, BROOKEVILLE |
State: | MD |
Postal Code: | 208332312 |
Phone Number: | 3013249500 |
Fax Number: | 3013249502 |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 09/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | TA1277 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |