Individual provider Active NPI

Emily Louise Wenzler-Chapman, O.D.

  • Optometrist
  • San Dimas, CA
National Provider Identifier
1851352066
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12439T Issued in CA
Practice address
520 N Lone Hill Ave
San Dimas, CA 91773-1725
Phone
(909) 394-4545
Fax
(909) 394-2323
NPI assigned
Mar 29, 2006
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 12439T CA Primary

Addresses

Primary practice location

520 N Lone Hill Ave
San Dimas, CA 91773-1725

Mailing address

520 N Lone Hill Ave
San Dimas, CA 91773-1725
Phone (909) 394-4545

Other practice location 1

13111 Peyton Dr
Chino Hills, CA 91709-6002
Phone (909) 628-0091

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

State licenses

LicenseStateTypeSpecialty
12439TCAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1851352066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N LONE HILL AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731725",
            "telephone_number": "909-394-4545",
            "fax_number": "909-394-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N LONE HILL AVE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731725",
            "telephone_number": "909-394-4545",
            "fax_number": "909-394-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13111 Peyton Dr",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917096002",
            "country_code": "US",
            "telephone_number": "909-628-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WENZLER-CHAPMAN",
        "first_name": "EMILY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12439T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.