Organization
DR N
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UGONMA C NWAOHUOCHA O.D (DOCTOR)
(718) 427-6861
Entity
Organization
Contact information
Practice address
1950 ANDERSON HWY, POWHATAN, VA 23139-7918
(804) 379-0555
(804) 379-0255
Mailing address
613 COLONIAL AVE, COLONIAL HEIGHTS, VA 23834-3421
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002277
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033470539
—
VA
Enumeration date
10/27/2015
Last updated
10/27/2015
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