Provider Demographics
NPI:1134428360
Name:NICE EYE CARE OPTOMETRY PC
Entity type:Organization
Organization Name:NICE EYE CARE OPTOMETRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHINYERE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONYENEKWU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-606-1143
Mailing Address - Street 1:5200 KINGS PLZ
Mailing Address - Street 2:APT #1
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5215
Mailing Address - Country:US
Mailing Address - Phone:504-606-1143
Mailing Address - Fax:
Practice Address - Street 1:5200 KINGS PLZ
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5215
Practice Address - Country:US
Practice Address - Phone:504-606-1143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-28
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100046713Medicare PIN