Provider Demographics
NPI:1710608971
Name:CHANDLER-DRAKES EYECARE LLC
Entity Type:Organization
Organization Name:CHANDLER-DRAKES EYECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:SHANEE
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHANDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-439-0490
Mailing Address - Street 1:2 CASTLE CT
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06907-2502
Mailing Address - Country:US
Mailing Address - Phone:347-439-0490
Mailing Address - Fax:
Practice Address - Street 1:144 MORGAN ST STE 7
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5433
Practice Address - Country:US
Practice Address - Phone:347-439-0490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHANDLER-DRAKES EYECARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty