Active NPI
Chukweumeka Chikwendu, OD
- Optometrist
- Stockton, CA
National Provider Identifier
1659553709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 13449
- Practice address
- 7743 West LN
Suite A2
Stockton, CA 95210-3348 - Phone
- (209) 636-4914
- Fax
- (209) 208-1819
- NPI assigned
- Nov 30, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT 13449 | CA | Primary |
Addresses
Primary practice location
7743 West LN
Suite A2
Stockton, CA 95210-3348
Mailing address
7743 West LN
Suite a-2
Stockton, CA 95210-3348
Phone (209) 636-4914
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 13449 | CA | MD | Optometrist |
| 13449 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449187200000",
"number": "1659553709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7743 WEST LN",
"address_2": "SUITE A-2",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952103348",
"telephone_number": "209-636-4914",
"fax_number": "209-208-1819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7743 WEST LN",
"address_2": "SUITE A2",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952103348",
"telephone_number": "209-636-4914",
"fax_number": "209-208-1819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIKWENDU",
"first_name": "CHUKWEUMEKA",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-11-30",
"last_updated": "2015-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 13449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.