Individual provider Active NPI

Chandrashekhar Vasant Chawan, PHD FSLS

  • Ocularist
  • Oviedo, FL
National Provider Identifier
1568056596
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OcularistTaxonomy code 156FX1700X
Practice address
875 Clark St Ste B
Oviedo, FL 32765-2900
Phone
(407) 632-3093
NPI assigned
Feb 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OcularistGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1700X Primary

Addresses

Primary practice location

875 Clark St Ste B
Oviedo, FL 32765-2900

Mailing address

875 Clark St Ste B
Oviedo, FL 32765-2900
Phone (407) 632-3093

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Oviedo Health Information Exchange (HIE)

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1613779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1568056596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 CLARK ST STE B",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327652900",
            "telephone_number": "407-632-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 CLARK ST STE B",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327652900",
            "telephone_number": "407-632-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAWAN",
        "first_name": "CHANDRASHEKHAR",
        "middle_name": "VASANT",
        "credential": "PHD FSLS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-20",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ocularist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Oviedo",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Oviedo",
            "address_1": "875 Clark St Ste B",
            "city": "Oviedo",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327652900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

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