Organization Active NPI

Eminence Family Eyecare, LLC

  • Optometrist
  • Alpharetta, GA
National Provider Identifier
1023463528
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002814 Issued in GA
Legal business name
EMINENCE FAMILY EYECARE, LLC
Practice address
6300 Atlanta Hwy # 9
Suite 101a
Alpharetta, GA 30004-7821
Phone
(678) 825-4077
NPI assigned
May 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Stella Onyekwelu, O.D
Title
Doctor of Optometry
Phone
(678) 825-4077

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X OPT002814 GA Primary
Corneal and Contact Management OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WC0802X OPT002814 GA
Pediatric OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WP0200X OPT002814 GA
Vision Therapy OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152WV0400X OPT002814 GA

Addresses

Primary practice location

6300 Atlanta Hwy # 9
Suite 101a
Alpharetta, GA 30004-7821

Mailing address

6300 Atlanta Hwy # 9
Suite 101a
Alpharetta, GA 30004-7821
Phone (678) 825-4077

National Provider Directory

National Provider Directory

Locations

6300 Atlanta Hwy
Ste 101A
Alpharetta, GA 30004
Phone (404) 309-2020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1023463528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 ATLANTA HWY # 9",
            "address_2": "SUITE 101A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047821",
            "telephone_number": "678-825-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 ATLANTA HWY # 9",
            "address_2": "SUITE 101A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300047821",
            "telephone_number": "678-825-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMINENCE FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-03",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "ONYEKWELU",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "678-825-4077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002814",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "GA",
            "license": "OPT002814",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "GA",
            "license": "OPT002814",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "GA",
            "license": "OPT002814",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.