Individual provider Active NPI

Chinonyerem Ijeoma Onor, OD

  • Optometrist
  • McDonough, GA
National Provider Identifier
1760214969
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT003609 Issued in GA
Practice address
409 Kara LN
McDonough, GA 30253-8963
Phone
(404) 860-8302
NPI assigned
Aug 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT003609 GA Primary

Addresses

Primary practice location

409 Kara LN
McDonough, GA 30253-8963

Mailing address

409 Kara LN
McDonough, GA 30253-8963
Phone (404) 860-8302

Other names 1

  • Chinonyerem Ijeoma Osuji Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260429001770 GA Practitioner - Optometry 8921575762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19100 Ridgewood Parkway
BLDG 1 7TH Floor
San Antonio, TX 78259-0001

805 Wetherford CT
Locust Grove, GA 30248-2357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003609GAMDOptometrist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1760214969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 KARA LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538963",
            "telephone_number": "404-860-8302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 KARA LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538963",
            "telephone_number": "404-860-8302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONOR",
        "first_name": "CHINONYEREM",
        "middle_name": "IJEOMA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHINONYEREM",
            "last_name": "OSUJI",
            "middle_name": "IJEOMA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

Verify at the official NPI Registry.