Chauncey Brown Jr., D.O.
Individual provider Active NPI Optometrist · Philadelphia, PA
NPI 1043765050 · NPPES record last updated Oct 29, 2019
Key facts
- NPI
- 1043765050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG003215 (PA)
- Practice address
- 6001 N 5TH Street
Office
Philadelphia, PA 19120-1825 - Phone
- (267) 335-2647
- Fax
- (267) 535-3086
- NPI assigned
- Aug 19, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
30 S Macdade Blvd
Glenolden, PA 19036-1725
Phone (610) 586-0651
6001 N 5TH St
Office
Philadelphia, PA 19120-1825
Phone (267) 335-2647
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180424002935 | PA | Practitioner - Optometry | 1153684238 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chauncey Eyecare Associates PLLC | Optometrist | Current |
Accepting new patients |
| Chauncey Eye Group LLC | Optometrist | Current |
Accepting new patients |
Locations
30 S Macdade Blvd
Glenolden, PA 19036
Phone (610) 586-0651
6001 N 5th St
Ofc
Philadelphia, PA 19120
Phone (267) 335-2647
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG003215 | PA | Yes |
Addresses
Primary practice location
6001 N 5TH Street
Office
Philadelphia, PA 19120-1825
Mailing address
6001 N 5TH Street
Office
Philadelphia, PA 19120-1825
Phone (267) 335-2647
Other providers in Philadelphia, PA
- Bridgett Duarte Brown
- Caitlin Brown
- Cassius Marcellous Brown
- Charlene Brown
- Chase Robert Brown
- Christian Brown
- Christina N Brown
- Christopher Brown
- Christopher Brown
- Christopher A Brown
All providers in Philadelphia, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.