Individual
DR. THANDEKA MYENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2020 W ILES AVE, SPRINGFIELD, IL 62704-4174
(217) 698-3030
Mailing address
2041 MARTIN LUTHER KING JR AVE SE STE 102, WASHINGTON, DC 20020-7033
(202) 889-5700
(202) 610-1861
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D74797
MD
207W00000X
Ophthalmology Physician
Primary
MD040967
DC
207W00000X
Ophthalmology Physician
MD14959
RI
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD040967
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012845502
—
DC
05
—
073072308
—
DC
Enumeration date
06/23/2008
Last updated
12/17/2025
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