William Wade Chancellor, LDO,ABOC,NCLEC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

LDO0002590 Issued in GA

Practice address

9 N Lee St
Forsyth, GA 31029-2114

Phone

(478) 258-3838

Fax

(478) 993-0344

NPI assigned

Jan 3, 2018

Last updated

May 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Best Chance Optical LLC

  • Optician
  • Forsyth, GA
  • NPI 1821673500
  NPD Authorized official
• Eye Can See Eyewear 2

  • Optician
  • Zebulon, GA
  • NPI 1982051355
  NPD (past)

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1245747906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 N LEE ST",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310292114",
            "telephone_number": "478-258-3838",
            "fax_number": "478-993-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N LEE ST",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310292114",
            "telephone_number": "478-258-3838",
            "fax_number": "478-993-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCELLOR",
        "first_name": "WILLIAM",
        "middle_name": "WADE",
        "credential": "LDO,ABOC,NCLEC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-03",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "GA",
            "license": "LDO0002590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DISPENSING OPTICIAN",
            "identifier": "LDO002590",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@bestchanceoptical.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9 N Lee St",
            "city": "Forsyth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310292114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Careconnect Health, Inc. (CareConnect Convenient Care)
• Carousel Home Care LLC
• Castleberry Drug Company, LLC
• CB Pharmacy Inc (Castleberry Drug Company)
• Central Georgia Family Medicine, LLC
• Heather Lee Chesnut, L.P.C., N.C.C.
• David Walter Childs
• Rene Michelle Claxton, CRNA
• CMS Hardaway Health Systems
• Laurie Elizabeth Cochran, M.D.

• Optician in Forsyth, GA
• Providers in Forsyth, GA by specialty
• Optician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.