Chisom Iwuanyanwu, OD is a
Optometrist based in Laurelton, New York. Chisom Iwuanyanwu is licensed to practice in New York (license number TUV007637-1) and her current practice location is
217 14 Merrick Blvd, Laurelton, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 978-0100.
NPI number for Chisom Iwuanyanwu is 1134422355 and her current mailing address is 217 14 Merrick Blvd, Laurelton, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134422355.
Healthcare Provider's Profile
Full Name | Chisom Iwuanyanwu |
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Gender | Female |
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Speciality | Optometrist |
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Location | 217 14 Merrick Blvd, Laurelton, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134422355
- Provider Enumeration Date: 12/09/2010
- Last Update Date: 06/11/2024
Medical Identifiers
Medical identifiers for Chisom Iwuanyanwu such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134422355 | NPI | - | NPPES |
03556163 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | TUV007637-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chisom Iwuanyanwu is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Chisom Iwuanyanwu, OD 217 14 Merrick Blvd, Laurelton, NY 11413-1726 Ph: (718) 978-0100 | Chisom Iwuanyanwu, OD 217 14 Merrick Blvd, Laurelton, NY 11413-1726 Ph: (718) 978-0100 |
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