Kelechi Eye Associates LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KELECHI EYE ASSOCIATES LLC

Practice address

Athens Family Eye Care
1405 E Tyler St
Athens, TX 75751-4613

Phone

(469) 396-5409

Fax

(470) 771-5398

NPI assigned

Sep 10, 2021

Organization subpart

No

Name

Nicole K. Akpunku, ODNPI 1881180628

Title

Owner

Phone

(469) 396-5409

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

• Nicole Akpunku, OD

  • Optometrist
  • Alpharetta, GA
  • NPI 1881180628

  GA

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in GA

• ATHENS FAMILY EYE CARE Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2021.

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1508535691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KELECHI EYE ASSOCIATES LLC",
            "address_2": "20418 CHATFIELD BEND WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492249",
            "telephone_number": "469-396-5409",
            "fax_number": "470-771-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ATHENS FAMILY EYE CARE",
            "address_2": "1405 E TYLER ST",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757514613",
            "telephone_number": "469-396-5409",
            "fax_number": "470-771-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELECHI EYE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "AKPUNKU",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-396-5409",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATHENS FAMILY EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathan D. Edwards MD PLLC
• Jonathan D. Edwards, M.D.
• Jonathan M Kletz DPM P a
• Brandi Jones, FNP-C
• Morghan Jungman, PTA
• Dana Kennedy, CPNP-PC
• Heather A King, PTA
• Destini Dawn Knotts
• Bruce Edward Kocian, RPH
• Steven M Koerth, M.D.

• All providers in Athens, TX
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.