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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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