Onyinyechi Achionye, OD
Individual provider Active NPI Optometrist · Lithonia, GA
NPI 1962437707 · NPPES record last updated Jul 9, 2010
Key facts
- NPI
- 1962437707
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT002224 (GA)
- Practice address
- 8225 Mall Pkwy
Suite 210
Lithonia, GA 30038-6994 - Phone
- (678) 526-7782
- Fax
- (678) 710-9907
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061005000216 | GA | Practitioner - Optometry | 5496751075 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ga Doctors of Optometry LLC | Optometrist | Current |
Accepting new patients |
| Ga Doctors of Optometry LLC | Optometrist | Current |
Accepting new patients |
Locations
50 Main Street Market Pl SE
Ste 100
Cartersville, GA 30121
Phone (770) 382-6379
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT002224 | GA | Yes |
Addresses
Primary practice location
8225 Mall Pkwy
Suite 210
Lithonia, GA 30038-6994
Mailing address
8225 Mall Pkwy
Suite 210
Lithonia, GA 30038-6994
Phone (678) 526-7782
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407665514O | Medicaid | GA |
Other providers in Lithonia, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.