Organization Name: | EMINENCE FAMILY EYECARE, LLC |
NPI Number: | 1023463528 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STELLA ONYEKWELU (DOCTOR OF OPTOMETRY) |
Mailing Address: | 6300 Atlanta Hwy # 9 Suite 101a Alpharetta |
State: | GA US |
Postal Code: | 300047821 |
Phone Number: | 6788254077 |
Fax Number: | |
NPI Enumeration Date: | 05/03/2016 |
NPI Last Update Date: | 05/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | OPT002814 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |