Organization
XAVIER EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIDINMA UGONMA NWACHUKWU OD (PRESIDENT)
(770) 875-0753
Entity
Organization
Contact information
Practice address
2037 ROSEBUD RD, GRAYSON, GA 30017-1226
(470) 709-5953
(770) 852-8761
Mailing address
2601 LEGACY WALK CT, GRAYSON, GA 30017-7833
(770) 875-0753
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002846
GA
Other
Enumeration date
02/16/2015
Last updated
09/28/2023
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