Individual provider Active NPI

Joe F Chaney Jr., OD

  • Optometrist
  • Nashville, AR
National Provider Identifier
1861485427
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2259 Issued in AR
Practice address
119 W College St
Nashville, AR 71852-2017
Phone
(870) 845-2020
Fax
(870) 845-2020
NPI assigned
Aug 29, 2005
Last updated
Aug 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 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 2259 AR Primary

Addresses

Primary practice location

119 W College St
Nashville, AR 71852-2017

Mailing address

119 W College St
Nashville, AR 71852-2017
Phone (870) 845-2020

Other identifiers 1

IdentifierTypeStateIssuer
103773722MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20101029001132 AR Practitioner - Optometry 7810008794 Practice locations: Nashville, AR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

119 W College St
Nashville, AR 71852-2017
Phone (870) 845-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1861485427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 W COLLEGE ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718522017",
            "telephone_number": "870-845-2020",
            "fax_number": "870-845-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W COLLEGE ST",
            "city": "NASHVILLE",
            "state": "AR",
            "postal_code": "718522017",
            "telephone_number": "870-845-2020",
            "fax_number": "870-845-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANEY",
        "first_name": "JOE",
        "middle_name": "F",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103773722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, AR

Sources for this page

Verify at the official NPI Registry.