Provider Demographics
NPI:1760214969
Name:ONOR, CHINONYEREM IJEOMA (OD)
Entity type:Individual
Prefix:
First Name:CHINONYEREM
Middle Name:IJEOMA
Last Name:ONOR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CHINONYEREM
Other - Middle Name:IJEOMA
Other - Last Name:OSUJI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:409 KARA LN
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-8963
Mailing Address - Country:US
Mailing Address - Phone:404-860-8302
Mailing Address - Fax:
Practice Address - Street 1:409 KARA LN
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-8963
Practice Address - Country:US
Practice Address - Phone:404-860-8302
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-15
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT003609152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist