MS. ALICIA CHANDLER (NPI# 1619586617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619586617 |
| Entity Type | Individual |
| Full Name | MS. ALICIA CHANDLER |
| Credential | LDO |
| Practice Address |
4036 Dutchmans Ln Louisville KY 40207-4704 |
| Mailing Address |
11605 Bragg Ave Louisville KY 40243-1353 |
| Practice Telephone | 5028952020 |
| Mailing Telephone | 5025007252 |
| Enumeration Date | 2020-07-25 |
| Last Update Date | 2020-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
166435 | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | OPTICAN | 166435 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942761465 | Alicia M Chandler | Social Worker | 17904 Georgia Ave Ste 105a, Olney, MD 20832-2234 | 2019-03-27 |
| Street Address |
4036 DUTCHMANS LN |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457452633 | Spencer R Maudlin | Optometrist | 4036 Dutchmans Ln, Louisville, KY 40207-4704 | 2006-09-26 |
| 1124365739 | Steven Baker | Technician/Technologist | 4036 Dutchmans Ln, Louisville, KY 40207-4704 | 2013-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447898127 | Donald Keith Newland | Technician/Technologist | 8107 La Grange Rd, Louisville, KY 40222-3817 | 2019-12-12 |
| 1720578446 | Kenneth Antonio Shoats Jr. | Technician/Technologist | 1325 Bardstown Rd, Louisville, KY 40204-1319 | 2018-05-17 |
| 1518270669 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3618 Mall Rd, Louisville, KY 40218-5403 | 2010-07-19 |
| 1821300930 | America's Best Contacts & Eyeglasses | Technician/Technologist | 12905 Shelbyville Rd, Louisville, KY 40243-2411 | 2010-07-06 |
| 1831314806 | Designer Eyewear Inc | Technician/Technologist | 4159 Shelbyville Rd, Louisville, KY 40207-3202 | 2007-04-16 |
| 1790807485 | Elizabeth Beckham | Technician/Technologist | 4720 Lowe Rd, Louisville, KY 40220-1552 | 2007-04-04 |
| 1396877585 | Darlene Rowlett | Technician/Technologist | 6809 Fordham Ln, Louisville, KY 40291-2448 | 2007-03-12 |
| 1174655351 | Joann Hurle | Technician/Technologist | 3904 Springbrooke Cv, Louisville, KY 40241-3000 | 2007-03-12 |
| 1982792271 | Charles D Krebs | Technician/Technologist | 129 Saint Matthews Ave, Louisville, KY 40207-3141 | 2006-10-11 |
| 1538175971 | Us Vision Optical Inc | Technician/Technologist | 4807 Outer Loop, Louisville, KY 40219-3200 | 2006-07-31 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on MS. ALICIA CHANDLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.