Provider Demographics
NPI:1598963308
Name:CHAPMAN, KERI OWYANG (OD)
Entity Type:Individual
Prefix:DR
First Name:KERI
Middle Name:OWYANG
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:KERI
Other - Middle Name:MICHELLE
Other - Last Name:OWYANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:442 RAMONA ST
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-1707
Mailing Address - Country:US
Mailing Address - Phone:650-326-0592
Mailing Address - Fax:
Practice Address - Street 1:442 RAMONA ST
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-1707
Practice Address - Country:US
Practice Address - Phone:650-326-0592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13268 T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist