Provider Demographics
NPI:1700068343
Name:ARTHUR CHAPMAN III OD PA
Entity Type:Organization
Organization Name:ARTHUR CHAPMAN III OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:207-642-3233
Mailing Address - Street 1:PO BOX 1300
Mailing Address - Street 2:
Mailing Address - City:STANDISH
Mailing Address - State:ME
Mailing Address - Zip Code:04084-1300
Mailing Address - Country:US
Mailing Address - Phone:207-642-3233
Mailing Address - Fax:207-642-2059
Practice Address - Street 1:40 NORTHEAST ROAD
Practice Address - Street 2:RT 35
Practice Address - City:STANDISH
Practice Address - State:ME
Practice Address - Zip Code:04084
Practice Address - Country:US
Practice Address - Phone:207-642-3233
Practice Address - Fax:207-642-2059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOPT533152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1780755116OtherIND NPI
ME022796OtherANTHEM
ME106470000Medicaid
ME106470000Medicaid
MEMM7552Medicare PIN
MET79597Medicare UPIN
ME022796OtherANTHEM