Provider Demographics
NPI:1437295417
Name:DRS CHAMBERS CHAMBERS & ASSOC PC
Entity Type:Organization
Organization Name:DRS CHAMBERS CHAMBERS & ASSOC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CHAMBERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:423-272-7124
Mailing Address - Street 1:PO BOX 250
Mailing Address - Street 2:
Mailing Address - City:ROGERSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37857-0250
Mailing Address - Country:US
Mailing Address - Phone:423-272-7124
Mailing Address - Fax:423-272-8955
Practice Address - Street 1:120 WEST MAIN STREET
Practice Address - Street 2:
Practice Address - City:ROGERSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37857
Practice Address - Country:US
Practice Address - Phone:423-272-7124
Practice Address - Fax:423-272-8955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0145064OtherBCBS OF TN
53629OtherDAVIS VISION AND UNITED H
TN3599219Medicaid
TN3599219Medicare PIN
53629OtherDAVIS VISION AND UNITED H
TN3599219Medicaid