Provider Demographics
NPI:1689837049
Name:CHAPIN, STEFFI JO (OD)
Entity Type:Individual
Prefix:DR
First Name:STEFFI
Middle Name:JO
Last Name:CHAPIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4462 DEL SOL BLVD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-2678
Mailing Address - Country:US
Mailing Address - Phone:941-355-7064
Mailing Address - Fax:941-351-9073
Practice Address - Street 1:4462 DEL SOL BLVD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34243-2678
Practice Address - Country:US
Practice Address - Phone:941-355-7064
Practice Address - Fax:941-351-9073
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-07
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2538152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist