Stella Onyekwelu, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002814 Issued in GA

Legal business name

STELLA ONYEKWELU, OD

Practice address

502 Booth Rd
(Inside Walmart Vision Center)
Warner Robins, GA 31088-3422

Phone

(478) 918-0636

Fax

(478) 918-0683

NPI assigned

Jun 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Stella Onyekwelu, ODNPI 1679986913

Title

Dr

Phone

(618) 741-3715

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stella Onyekwelu

  • Optometrist
  • Warner Robins, GA
  • NPI 1679986913
  NPD (past) Authorized official

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1376958843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 WESTCLIFF CIR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BOOTH RD",
            "address_2": "(INSIDE WALMART VISION CENTER)",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883422",
            "telephone_number": "478-918-0636",
            "fax_number": "478-918-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STELLA ONYEKWELU, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "ONYEKWELU",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "618-741-3715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.