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DR. ALEXANDER C. NNABUE & ASSOCIATES

Eye and Vision Services Providers Optometrist Corneal and Contact Management

Provider NPI: 1487899928

Organization Information:
Organization Name:  DR. ALEXANDER C. NNABUE & ASSOCIATES
Organization is not Subpart
Authorized Official:  ALEXANDER C NNABUE  OWNER  301-324-9500

Practice Location:
10228 LAKE ARBOR WAY  MITCHELLVILLE, MD 20721-3113 US
Tel: 301-324-9500  Fax: 301-324-9502

Business Mailing Address:
317 HAVILAND MILL RD  BROOKEVILLE, MD 20833-2312 US
Tel: 301-325-9500  Fax: 301-325-9502

NPI Information:
NPI: 1487899928
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N152WC0802XEye and Vision Services Providers
Optometrist
Corneal and Contact Management
MDTA1277
N152WL0500XEye and Vision Services Providers
Optometrist
TA1277
N152WP0200XEye and Vision Services Providers
Optometrist
TA1277
N152WS0006XEye and Vision Services Providers
Optometrist
MDTA1277
Y152W00000XEye and Vision Services Providers
Optometrist
MDTA1277

Other Provider Identifiers:

IssuerNumberStateType
690741500MD05
026458100DC05



American Medical Association 2012 taxonomy code information

Code: 152W00000X

Type:

Classification:



Definition:



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