Individual provider Active NPI

Jeff L. Chapman, O.D.

  • Optometrist
  • Arvada, CO
National Provider Identifier
1508860396
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1507 Issued in CO
Practice address
16205 W 64TH Ave
Ste 100
Arvada, CO 80007-7401
Phone
(303) 424-2991
Fax
(303) 467-2486
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1507 CO Primary

Addresses

Primary practice location

16205 W 64TH Ave
Ste 100
Arvada, CO 80007-7401

Mailing address

16205 W 64TH Ave
Ste 100
Arvada, CO 80007-7401
Phone (303) 424-2991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040505000778 CO Practitioner - Optometry 1456349331 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1507COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oneopto Co 1 PLLC Optometrist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207180800000",
    "number": "1508860396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16205 W 64TH AVE",
            "address_2": "STE 100",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077401",
            "telephone_number": "303-424-2991",
            "fax_number": "303-467-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16205 W 64TH AVE",
            "address_2": "STE 100",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077401",
            "telephone_number": "303-424-2991",
            "fax_number": "303-467-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "JEFF",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

Verify at the official NPI Registry.