Provider Demographics
NPI:1356466411
Name:NWAJEI, IHUOMA C (OD)
Entity Type:Individual
Prefix:DR
First Name:IHUOMA
Middle Name:C
Last Name:NWAJEI
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8902 DANGERFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-2912
Mailing Address - Country:US
Mailing Address - Phone:202-737-2262
Mailing Address - Fax:202-628-1842
Practice Address - Street 1:8902 DANGERFIELD RD
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-2912
Practice Address - Country:US
Practice Address - Phone:202-737-2262
Practice Address - Fax:202-628-1842
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOP1000112152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist