Individual
CHANLER E DEMERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
750 E MAIN ST, DELPHI, IN 46923-1327
(765) 564-2800
(765) 564-2477
Mailing address
PO BOX 275, DELPHI, IN 46923-0275
(765) 564-2800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004173A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027794
—
IN
Enumeration date
06/21/2019
Last updated
06/30/2020
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