Individual
STELLA ONYEKWELU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 BOOTH RD, (INSIDE WALMART VISION CENTER), WARNER ROBINS, GA 31088-3422
(478) 918-0636
(478) 918-0683
Mailing address
86 WESTCLIFF CIR, WARNER ROBINS, GA 31093-8899
(618) 741-3715
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
06/04/2014
Last updated
06/04/2014
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