Provider Demographics
NPI:1689734923
Name:CHATTERS, ADRIENNE B (OD)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:B
Last Name:CHATTERS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7782 TOKATEE DR
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-9828
Mailing Address - Country:US
Mailing Address - Phone:614-864-7207
Mailing Address - Fax:614-751-6546
Practice Address - Street 1:2675 TAYLOR ROAD EXT
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-9543
Practice Address - Country:US
Practice Address - Phone:614-866-8594
Practice Address - Fax:614-866-8990
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH4409152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist