Physician Compare National (NPI:1396707584)

HEALTHCARE PROVIDER: ADOLPHUS CHUKWUGOZIE ANOSIKE O,D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1396707584
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7618166828
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110104000523
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ANOSIKE
	Individual professional last name
Provider First Name	ADOLPHUS
	Individual professional first name
Provider Middle Name	C
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NEW ENGLAND COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	820 FLATBUSH AVE
	Group Practice or individual's line 1 address
City	BROOKLYN
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	112263102
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7186935994
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y