Individual
DR. ALEXANDER CHUKWUEMEKA NNABUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
10240 LAKE ARBOR WAY, MITCHELLVILLE, MD 20721-3113
(301) 324-9500
(301) 324-9502
Mailing address
317 HAVILAND MILL RD, BROOKEVILLE, MD 20833-2312
(301) 324-9500
(301) 324-9502
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1277
MD
152WC0802X
Corneal and Contact Management Optometrist
TA1277
MD
152WL0500X
Low Vision Rehabilitation Optometrist
TA1277
MD
152WP0200X
Pediatric Optometrist
TA1277
MD
152WS0006X
Sports Vision Optometrist
TA1277
MD
152WV0400X
Vision Therapy Optometrist
TA1277
MD
152WX0102X
Occupational Vision Optometrist
TA1277
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026458100
—
DC
05
—
69074150
—
MD
05
—
690741500
—
MD
Enumeration date
11/14/2006
Last updated
12/09/2024
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