Provider Demographics
NPI:1952038903
Name:WARNOCK, ONYALE (OD)
Entity type:Individual
Prefix:DR
First Name:ONYALE
Middle Name:
Last Name:WARNOCK
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 1:651 S MILLEDGE AVE
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-1250
Mailing Address - Country:US
Mailing Address - Phone:706-548-9290
Mailing Address - Fax:706-546-4938
Practice Address - Street 1:651 S MILLEDGE AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-1250
Practice Address - Country:US
Practice Address - Phone:706-548-9290
Practice Address - Fax:706-546-4938
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1959-905AT152W00000X
CT3.003314152W00000X
GAOPT003656152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1959-905ATOtherSTATE LICENSE
CT3.003314OtherSTATE LICENSE
GAOPT003656OtherSTATE LICENSE