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DR. OLACHI JOY MEZU-NDUBUISI MD. OD.

Eye and Vision Services Providers Optometrist

Provider NPI: 1821057647

Provider Information:
DR. OLACHI JOY MEZU-NDUBUISI MD. OD.
Gender: F
Not Sole Proprietor

Practice Location:
202 S PARK ST  MADISON, WI 53715-1507 US
Tel: 608-417-6236  Fax: 608-417-6377

Business Mailing Address:
7974 UW HEALTH CT  MIDDLETON, WI 53562-5531 US
Tel: --  Fax: --

NPI Information:
NPI: 1821057647
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N152W00000XEye and Vision Services Providers
Optometrist
MDTA1855
N152WC0802XEye and Vision Services Providers
Optometrist
MDTA1855
N152WL0500XEye and Vision Services Providers
Optometrist
MDTA1855
N152WP0200XEye and Vision Services Providers
Optometrist
MDTA1855
N152WS0006XEye and Vision Services Providers
Optometrist
MDTA1855
N152WV0400XEye and Vision Services Providers
Optometrist
MDTA1855
N152WX0102XEye and Vision Services Providers
Optometrist
MDTA1855
N208000000XPhysicians
Pediatrics
MDD0064730
Y2080N0001XPhysicians
Pediatrics
MDD0064730

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 2080N0001X

Type:

Classification:



Definition:



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