Alicia Chandler, LDO

Primary specialty

OpticianTaxonomy code 156FX1800X

License

166435 Issued in KY

Practice address

11605 Bragg Ave
Louisville, KY 40243-1353

Phone

(502) 500-7252

NPI assigned

Jul 25, 2020

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1595635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1619586617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11605 BRAGG AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431353",
            "telephone_number": "502-500-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 BRAGG AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431353",
            "telephone_number": "502-500-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "ALICIA",
        "name_prefix": "Ms.",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-25",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "166435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICAN",
            "identifier": "166435",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Vip",
            "affiliation": "N",
            "address_1": "11605 Bragg Ave",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Alicia.chandler83@gmail.com",
            "affiliation": "N",
            "address_1": "11605 Bragg Ave",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sushma Chandan, M.D.
• Sarika Chandiramani
• Shanker Chandiramani, M.D.
• Sunita S Chandiramani, DMD
• Chandler Behavioral Health Resources
• Curtis Dale Chandler, MS
• Cynthia Ann Chandler, RD
• Elizabeth Claudia Chandler, PT
• Erika Chandler
• Galia Chandler

• Optician in Louisville, KY
• Providers in Louisville, KY by specialty
• Optician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.