Organization Active NPI

Dr Jay M Chapman Vision Center

  • Optometrist
  • Lawrenceburg, TN
National Provider Identifier
1508180944
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
512 Issued in TN
Legal business name
DR JAY M CHAPMAN VISION CENTER
Practice address
234 S Locust Ave
Lawrenceburg, TN 38464-3707
Phone
(931) 762-1364
Fax
(931) 762-1371
NPI assigned
Mar 15, 2010
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Jay M Champman, OD
Title
Owner
Phone
(931) 762-1364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 512 TN Primary

Addresses

Primary practice location

234 S Locust Ave
Lawrenceburg, TN 38464-3707

Mailing address

234 S Locust Ave
Lawrenceburg, TN 38464-3707
Phone (931) 762-1364

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1508180944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 S LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643707",
            "telephone_number": "931-762-1364",
            "fax_number": "931-762-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 S LOCUST AVE",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384643707",
            "telephone_number": "931-762-1364",
            "fax_number": "931-762-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR JAY M CHAPMAN VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-15",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "CHAMPMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-762-1364",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.