Provider Demographics
NPI:1427340215
Name:IGBOELI, OKEZIE C (MD)
Entity type:Individual
Prefix:
First Name:OKEZIE
Middle Name:C
Last Name:IGBOELI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8901 ROCKVILLE PIKE BLDG 85T
Mailing Address - Street 2:1ST FLOOR, OPHTHALMOLOGY
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-1339
Mailing Address - Fax:
Practice Address - Street 1:8901 ROCKVILLE PIKE BLDG 85T
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-4101
Practice Address - Country:US
Practice Address - Phone:301-295-1339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR6025207W00000X
NE26879207WX0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0120XAllopathic & Osteopathic PhysiciansOphthalmologyCornea and External Diseases Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology