Provider Demographics
NPI:1972733293
Name:ONYENEKWU, CHINYERE (OD)
Entity type:Individual
Prefix:DR
First Name:CHINYERE
Middle Name:
Last Name:ONYENEKWU
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BAYCHESTER AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10475-4580
Mailing Address - Country:US
Mailing Address - Phone:718-320-7700
Mailing Address - Fax:718-320-7709
Practice Address - Street 1:200 BAYCHESTER AVE STE 111
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-4580
Practice Address - Country:US
Practice Address - Phone:718-320-7700
Practice Address - Fax:718-320-7709
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007471152W00000X
LA1910-846AT152W00000X
CT3054152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist