Provider Demographics
NPI:1790872752
Name:OJUKWU, CHIKA LILLIAN (OD)
Entity Type:Individual
Prefix:DR
First Name:CHIKA
Middle Name:LILLIAN
Last Name:OJUKWU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:CHIKA
Other - Middle Name:LILLIAN
Other - Last Name:AKABOGU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:122 SMALLWOOD VILLAGE CTR
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20602-1843
Mailing Address - Country:US
Mailing Address - Phone:240-419-3846
Mailing Address - Fax:240-419-3854
Practice Address - Street 1:122 SMALLWOOD VILLAGE CTR
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-1843
Practice Address - Country:US
Practice Address - Phone:240-419-3846
Practice Address - Fax:240-419-3854
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1860152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist