Jeff L. Chandler, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3333 Issued in OH

Practice address

125 E Franklin St
Centerville, OH 45459-5915

Phone

(937) 435-8605

Fax

(937) 435-6801

NPI assigned

Jun 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Optometry

Education

Other, 1978

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerville Family Eye CareGroup PAC ID 5496799819, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Centerville Family Eye Care

  • Optometrist
  • Centerville, OH
  • NPI 1750438172
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1922042944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E FRANKLIN ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454595915",
            "telephone_number": "937-435-8605",
            "fax_number": "937-435-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E FRANKLIN ST",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454595915",
            "telephone_number": "937-435-8605",
            "fax_number": "937-435-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "JEFF",
        "middle_name": "L.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Polo Chaikwang
• Sarah Chaltry
• Cecelia Shireen Chamberlain, AU.D.
• Rebecca Chamberlin, ATC, AT
• Marie Elizabeth Chambers, CNP
• Samantha Chetosky, PHARMD
• CHI Living Communities
• CHI Living Communties
• Lori Ann Chidester, BCABA
• Kavitha Aluri Choudary, M.D.

• Optometrist in Centerville, OH
• Providers in Centerville, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.