Provider Demographics
NPI:1457994923
Name:CHAUNCEY EYECARE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:CHAUNCEY EYECARE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAUNCEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:716-510-8049
Mailing Address - Street 1:6001 N 5TH ST OFC
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-1873
Mailing Address - Country:US
Mailing Address - Phone:267-335-2647
Mailing Address - Fax:267-535-3086
Practice Address - Street 1:6001 N 5TH ST OFC
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19120-1873
Practice Address - Country:US
Practice Address - Phone:267-335-2647
Practice Address - Fax:267-535-3086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty