Provider Demographics
NPI:1659462331
Name:CHAPEL OPTICIANS, INC.
Entity Type:Organization
Organization Name:CHAPEL OPTICIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:LAND
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC
Authorized Official - Phone:301-779-8600
Mailing Address - Street 1:6211 BELCREST RD STE 3
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2946
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6211 BELCREST RD STE 3
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20782-2946
Practice Address - Country:US
Practice Address - Phone:301-779-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16225527332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDX105CH0001OtherCAREFIRST
DC92790001OtherBLUE CROSS BLUE SHIELD
DC92790001OtherBLUE CROSS BLUE SHIELD