MEDICARE: OKEZIE C IGBOELI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	R6025	TX
2	207WX0120X	Cornea and External Diseases Specialist Physician	26879	NE

General Provider Information

NPI Number	:	1427340215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OKEZIE C IGBOELI M.D.

Provider Business Mailing Address
First Line	:	8901 ROCKVILLE PIKE BLDG 85T
Second Line	:	1ST FLOOR, OPHTHALMOLOGY
City	:	BETHESDA
State	:	MD
Zip	:	20889-0001
Country	:	US
Telephone Number	:	301-295-1339
Fax Number	:

Provider Business Practice Location Address
First Line	:	8901 ROCKVILLE PIKE BLDG 85T
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-4101
Country	:	US
Telephone Number	:	301-295-1339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2011
Last Update Date	:	05/22/2025

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