Active NPI
Sheryl Nery Chan, O.D.
- Optometrist
- Rockwall, TX
National Provider Identifier
1205049731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6775
- Practice address
- 2665 Market Center Dr
Rockwall, TX 75032-6563 - Phone
- (972) 772-9659
- Fax
- (972) 772-3120
- NPI assigned
- May 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6775 | TX | Primary |
Addresses
Primary practice location
2665 Market Center Dr
Rockwall, TX 75032-6563
Mailing address
3700 Trailwood Dr
Richardson, TX 75082-2433
Phone (972) 772-9659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6775 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205049731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 TRAILWOOD DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750822433",
"telephone_number": "972-772-9659",
"fax_number": "972-772-3120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2665 MARKET CENTER DR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326563",
"telephone_number": "972-772-9659",
"fax_number": "972-772-3120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "SHERYL",
"middle_name": "NERY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.