Basic Information
Provider Information
NPI: 1760434237
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ONYON
FirstName: MICHAEL
MiddleName: JAMES
NamePrefix: DR.
NameSuffix:  
Credential: O.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8614 WESTWOOD CENTER DR FL 9
Address2:  
City: VIENNA
State: VA
PostalCode: 221822442
CountryCode: US
TelephoneNumber: 7038478899
FaxNumber: 5712236780
Practice Location
Address1: 8 STILES RD
Address2:  
City: SALEM
State: NH
PostalCode: 030792847
CountryCode: US
TelephoneNumber: 6038908821
FaxNumber: 6038935614
Other Information
ProviderEnumerationDate: 05/16/2006
LastUpdateDate: 09/30/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/30/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
152W00000X580NHY Eye and Vision Services ProvidersOptometrist 

No ID Information.


Home