Xavier Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002846 Issued in GA

Legal business name

XAVIER EYE CARE

Practice address

2037 Rosebud Rd
Grayson, GA 30017-1226

Phone

(470) 709-5953

Fax

(770) 852-8761

NPI assigned

Feb 16, 2015

Last updated

Sep 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chidinma Ugonma Nwachukwu, OD

Title

President

Phone

(770) 875-0753

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chidinma Nwuba-Onyejeana

  • Optometrist
  • Snellville, GA
  • NPI 1649656182
  Medicare reassignment

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1326439001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 LEGACY WALK CT",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300177833",
            "telephone_number": "770-875-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 ROSEBUD RD",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300171226",
            "telephone_number": "470-709-5953",
            "fax_number": "770-852-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XAVIER EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "NWACHUKWU",
        "authorized_official_first_name": "CHIDINMA",
        "authorized_official_middle_name": "UGONMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-875-0753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Winston, M.A. CCC-SLP
• Jenna Michele Wollerman, M.S. CCC-SLP
• Brian Woodard, LPN
• Wooten Healthcare Services
• Antoinette Wooten
• Freshta Zaher

• Optometrist in Grayson, GA
• Providers in Grayson, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.