Organization
EMINENCE FAMILY EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STELLA ONYEKWELU O.D (DOCTOR OF OPTOMETRY)
(678) 825-4077
Entity
Organization
Contact information
Practice address
6300 ATLANTA HWY # 9, SUITE 101A, ALPHARETTA, GA 30004-7821
(678) 825-4077
Mailing address
6300 ATLANTA HWY # 9, SUITE 101A, ALPHARETTA, GA 30004-7821
(678) 825-4077
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002814
GA
152WC0802X
Corneal and Contact Management Optometrist
OPT002814
GA
152WP0200X
Pediatric Optometrist
OPT002814
GA
152WV0400X
Vision Therapy Optometrist
OPT002814
GA
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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