NPI 1972764801 · live from the CMS NPI Registry
Thandeka Myeni, M.D.
Ophthalmology in Springfield, IL. National Provider Identifier 1972764801, active.
NPI record
| NPI | 1972764801 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2020 W Iles Ave, Springfield, IL 62704 |
| Practice phone | 217-698-3030 |
| Mailing address | 2041 Martin Luther King Jr Ave Se Ste 102, Washington, DC 20020 |
| Enumerated | June 23, 2008 |
| Last updated | December 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology, Glaucoma Specialist | 207WX0009X | MD040967 (DC) |
| Ophthalmology | 207W00000X | D74797 (MD) |
| Ophthalmology primary | 207W00000X | MD040967 (DC) |
| Ophthalmology | 207W00000X | MD14959 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.