Individual
DR. FABRICE DJOKO DZUGUIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
17301 VALLEY MALL RD, HAGERSTOWN, MD 21740-6966
(301) 582-1771
(301) 582-4681
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618003046
VA
152W00000X
Optometrist
2073
WV
152W00000X
Optometrist
OEG004107
PA
152W00000X
Optometrist
Primary
TA2685
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
$$$$$$$$$
—
MA
Enumeration date
07/25/2019
Last updated
10/15/2025
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