Provider Demographics
NPI:1760526362
Name:CHAPMAN, ROBERT N SR (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:N
Last Name:CHAPMAN
Suffix:SR
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 SHOPPERS WAY
Mailing Address - Street 2:SUITE F
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31525
Mailing Address - Country:US
Mailing Address - Phone:912-264-6000
Mailing Address - Fax:912-264-0808
Practice Address - Street 1:106 SHOPPERS WAY
Practice Address - Street 2:SUITE F
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31525
Practice Address - Country:US
Practice Address - Phone:912-264-6000
Practice Address - Fax:912-264-0808
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA679T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MC0020204OtherDEA
GA55443754SCMedicare ID - Type Unspecified
MC0020204OtherDEA