Chidinma Odoemenem, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD61017367 Issued in WA

Practice address

15617 Bel Red Rd Ste a
Bellevue, WA 98008-2347

Phone

(425) 746-9914

NPI assigned

Sep 5, 2013

Last updated

Oct 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1780019075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15617 BEL RED RD STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082347",
            "telephone_number": "425-746-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15617 BEL RED RD STE A",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980082347",
            "telephone_number": "425-746-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOEMENEM",
        "first_name": "CHIDINMA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-05",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD61017367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Oconnor-Wolf, MFTA
• Ib Rask Odderson
• Chardonae Odegard
• Miriam Oderberg Moss, MA
• Abigail Odhiambo
• Duiny Oduber
• Lee Ofir-Talmon
• Christina Oglesby
• Ligia Ognean, ARNP
• Mosunmola Ogunyinmi, PMHNP

• Optometrist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.