Organization
CHIKA EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIKA OJUKWU OD (OWNER)
(240) 419-3846
Entity
Organization
Contact information
Practice address
122 SMALLWOOD VILLAGE CTR, WALDORF, MD 20602-1843
(240) 419-3846
(240) 419-3854
Mailing address
122 SMALLWOOD VILLAGE CTR, WALDORF, MD 20602-1843
(240) 419-3846
(240) 419-3854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
X48488
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217726
PTAN
MD
01
—
TA1860
LICENSE
MD
Enumeration date
07/07/2010
Last updated
09/14/2012
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