Organization
CHANEY EYE CARE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD FREEMAN CHANEY O.D. (OWNER)
(256) 845-5555
Entity
Organization
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
17979
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009966025
—
AL
01
—
051524862
BCBS
AL
01
—
051555126
MEDICARE
AL
01
—
1083763049
NPI INDIVIDUAL
—
01
—
AL0657
EYEMED INSURANCE
—
01
—
V01729
UPIN
—
Enumeration date
07/09/2010
Last updated
07/09/2010
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