Organization
DR. ALEXANDER C. NNABUE & ASSOCIATES
Active
Other names
Lake Arbor Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER NNABUE OD (AUTORIZED OFFICIAL)
(301) 324-9500
Entity
Organization
Contact information
Practice address
10228 LAKE ARBOR WAY, MITCHELLVILLE, MD 20721-3113
(301) 324-9500
(301) 324-9502
Mailing address
317 HAVILAND MILL RD, BROOKEVILLE, MD 20833-2312
(301) 325-9500
(301) 325-9502
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
—
152WP0200X
Pediatric Optometrist
TA1277
—
152WS0006X
Sports Vision Optometrist
TA1277
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026458100
—
DC
05
—
690741500
—
MD
Enumeration date
12/12/2008
Last updated
05/14/2026
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