Provider Demographics
NPI:1104011477
Name:CHAMBERS EYE CARE, INC.
Entity Type:Organization
Organization Name:CHAMBERS EYE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAIGE
Authorized Official - Middle Name:T
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:205-985-0529
Mailing Address - Street 1:2000 RIVERCHASE GALLERIA STE 241
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2322
Mailing Address - Country:US
Mailing Address - Phone:205-985-0529
Mailing Address - Fax:
Practice Address - Street 1:2000 RIVERCHASE GALLERIA STE 241
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2322
Practice Address - Country:US
Practice Address - Phone:205-985-0529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-834 TA-365152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty