Provider Demographics
NPI:1265769129
Name:ANTHONY CHAPMAN OD, PA
Entity type:Organization
Organization Name:ANTHONY CHAPMAN OD, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:214-912-0698
Mailing Address - Street 1:5706 E MOCKINGBIRD LN STE 190
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5421
Mailing Address - Country:US
Mailing Address - Phone:214-912-0698
Mailing Address - Fax:214-987-6914
Practice Address - Street 1:5706 E MOCKINGBIRD LN STE 190
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-5421
Practice Address - Country:US
Practice Address - Phone:214-912-0698
Practice Address - Fax:214-987-6914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-12
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX05769152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty