Provider Demographics
NPI:1821267170
Name:DANIEL CHALFANT
Entity Type:Organization
Organization Name:DANIEL CHALFANT
Other - Org Name:VISION ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CHALFANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-288-1575
Mailing Address - Street 1:1904 W MCGALLIARD RD
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-2211
Mailing Address - Country:US
Mailing Address - Phone:765-288-1575
Mailing Address - Fax:765-286-5140
Practice Address - Street 1:1904 W MCGALLIARD RD
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-2211
Practice Address - Country:US
Practice Address - Phone:765-288-1575
Practice Address - Fax:765-286-5140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-20
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332H00000XSuppliersEyewear Supplier
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0299700001Medicare NSC