Individual
DR. CHAD FREEMAN CHANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1953 GAULT AVE N, FORT PAYNE, AL 35967-3417
(256) 845-5555
(256) 997-9310
Mailing address
1953 GAULT AVE N, FORT PAYNE, AL 35967-3417
(256) 845-5555
(256) 997-9310
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-A88-TA-657
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5294250001
PALMETTO GBA-DMERC
AL
01
—
AL0657
EYECARE PLAN OF AMERICA
AL
Enumeration date
01/09/2007
Last updated
01/15/2008
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