Provider Demographics
NPI:1073296273
Name:CHANDLER, CAMBRIE SHAE (OD)
Entity Type:Individual
Prefix:DR
First Name:CAMBRIE
Middle Name:SHAE
Last Name:CHANDLER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CHATHAM HEIGHTS RD STE 100
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-2593
Mailing Address - Country:US
Mailing Address - Phone:800-572-2722
Mailing Address - Fax:
Practice Address - Street 1:12 CHATHAM HEIGHTS RD STE 100
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-2593
Practice Address - Country:US
Practice Address - Phone:800-572-2722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00618003324152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist