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Organization
DR. ALEXANDER C NNABUE AND ASSOCIATES PA
Active
Organization
DR. ALEXANDER C NNABUE AND ASSOCIATES PA
Active
Other names
VISUAL EYES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA PARKS (BILLING MANAGER)
(517) 231-4086
Entity
Organization
Contact information
Practice address
8931 WOODYARD RD, CLINTON, MD 20735-4203
(301) 877-1770
(301) 877-3207
Mailing address
10240 LAKE ARBOR WAY, MITCHELLVILLE, MD 20721-3113
(301) 324-9500
(301) 324-9502
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
TA1277
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26458100
—
DC
05
—
6907415
—
MD
Enumeration date
02/12/2009
Last updated
12/09/2024
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