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Active NPI 1720290612 Individual Practitioner Male Practitioner

Dr. Ezeagwula Chikwendu Ebube , OD

Optometrist • Canovanas, PR

Professional Overview & Biography Verified Profile Summary

Dr. Ezeagwula Ebube, OD is a registered healthcare professional specializing in Optometrist in Canovanas, PR. Practice services are available at EYE EXPRESS 20-20, PLAZA RIAL 185, KM .9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Eye Express 20-20, Plaza Rial 185, Km .9
Suite # 3

Canovanas, PR 00729

Telephone 7878765511
Fax 7878765511
Associated Practice Facility / Clinic
🏢 Eye Express 20-20 Facility NPI 1487866166

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Canovanas, PR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 28.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Canovanas, PR (513 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-15
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License PR 167

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Triple S
58085 (PR)
Commercial Insurance / Payer ID First Medical
0688 (PR)
Commercial Insurance / Payer ID Humana
6290051 (PR)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at EYE EXPRESS 20-20, PLAZA RIAL 185, KM .9, SUITE # 3, CANOVANAS, PR 00729 (Tel: 7878765511)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 938, CANOVANAS, PR 007290938 (Tel: 7878765511)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EZEAGWULA EBUBE, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #167 in PR)

🟢
Initial NPI Registration & Enumeration May 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720290612
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 04, 2007
Last Update: January 15, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 938

Canovanas, PR 007290938

Phone: 7878765511

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.