Active NPIIndividual providerSole proprietor

Dr. Ezeagwula C Ebube, OD

Optometrist in Canovanas, Puerto Rico

NPI Number1720290612
Practice location
Eye Express 20-20, Plaza Rial 185, Km .9, Suite # 3, Canovanas, PR 00729
Fax
787-876-5511
Last updated
January 15, 2024

Ezeagwula Chikwendu Ebube is an Optometrist based in Canovanas, PR. Ezeagwula Chikwendu Ebube practices in Canovanas, PR and has the professional credentials of OD. The NPI Number for Ezeagwula Chikwendu Ebube is 1720290612 and holds a License No. 167 (PR). The current practice location address for Ezeagwula Chikwendu Ebube is Eye Express 20-20, Plaza Rial 185, Km .9, Suite # 3, Canovanas, PR 00729 and can be reached out via phone at 787-876-5511 and via fax at 787-876-5511.

Provider Profile Details

NPI Number
1720290612
Provider Name
Ezeagwula Chikwendu Ebube
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
Eye Express 20-20, Plaza Rial 185, Km .9, Suite # 3, Canovanas, PR 00729
Phone Number
787-876-5511
Fax Number
787-876-5511
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 4, 2007
Last Update Date
January 15, 2024
Certification Date
January 15, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
Eye Express 20-20, Plaza Rial 185, Km .9
Suite # 3
Canovanas, PR 00729
Zip
00729
Phone Number
787-876-5511
Fax Number
787-876-5511
Canovanas, PR 00729Get directions →

Provider Business Mailing Address Details

Address
Po Box 938
Canovanas, PR 00729-0938
City
Canovanas
State
PR
Zip
00729-0938
Phone Number
787-876-5511
Fax Number
787-876-5511

License Information

License Number
167
License State
PR
Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ezeagwula C Ebube, OD?

The NPI number of Dr. Ezeagwula C Ebube, OD is 1720290612. It was assigned on May 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Ezeagwula C Ebube, OD?

Dr. Ezeagwula C Ebube, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in PR under license number 167.

Where does Dr. Ezeagwula C Ebube, OD practice?

The practice location is Eye Express 20-20, Plaza Rial 185, Km .9, Suite # 3, Canovanas, PR 00729. The office can be reached at 787-876-5511 (phone) or 787-876-5511 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720290612 directly on the NPPES registry website.

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