Mary Leona Chandler

Primary specialty

OpticianTaxonomy code 156FX1800X

License

111786 Issued in KY

Practice address

4036 Dutchmans LN
Louisville, KY 40207-4704

Phone

(502) 895-2020

Fax

(502) 657-4982

NPI assigned

Apr 22, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1104408962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4036 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074704",
            "telephone_number": "502-895-2020",
            "fax_number": "502-657-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4036 DUTCHMANS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074704",
            "telephone_number": "502-895-2020",
            "fax_number": "502-657-4982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4917 Dixie Hwy Ste H",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402162565",
            "country_code": "US",
            "telephone_number": "502-447-2020",
            "fax_number": "502-657-4982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "MARY",
        "middle_name": "LEONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "111786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ann Chandler, RD
• Elizabeth Claudia Chandler, PT
• Erika Chandler
• Galia Chandler
• Kayla Jane Chandler, BA
• Natasha Fraser Chandler, MD
• Patricia Voigt Chandler, M.D.
• Rachel Ann Chandler, LPAT, ATR-BC
• Sadie Chandler, APRN
• Sara Ann Chandler, RD, CSP

• Optician in Louisville, KY
• Providers in Louisville, KY by specialty
• Optician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.