Provider Demographics
NPI:1891390605
Name:MARY N. CHASE, O.D., PLLC
Entity Type:Organization
Organization Name:MARY N. CHASE, O.D., PLLC
Other - Org Name:FOX CHASE OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:NETHAWAY
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:865-435-1513
Mailing Address - Street 1:1042 E TRI COUNTY BLVD
Mailing Address - Street 2:
Mailing Address - City:OLIVER SPRINGS
Mailing Address - State:TN
Mailing Address - Zip Code:37840-6205
Mailing Address - Country:US
Mailing Address - Phone:865-435-1513
Mailing Address - Fax:865-435-1513
Practice Address - Street 1:1042 E TRI COUNTY BLVD
Practice Address - Street 2:
Practice Address - City:OLIVER SPRINGS
Practice Address - State:TN
Practice Address - Zip Code:37840-6205
Practice Address - Country:US
Practice Address - Phone:865-435-1513
Practice Address - Fax:865-730-6005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-01
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty