MEDICARE: JON PAUL CHAPMAN, OD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier	2036	AR

General Provider Information

NPI Number	:	1316110257
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JON PAUL CHAPMAN, OD PA

Provider Business Mailing Address
First Line	:	4328 CENTRAL AVE
Second Line	:	SUITE G
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-7436
Country	:	US
Telephone Number	:	501-525-1348
Fax Number	:	501-525-3723

Provider Business Practice Location Address
First Line	:	4328 CENTRAL AVE
Second Line	:	SUITE G
City	:	HOT SPRINGS
State	:	AR
Zip	:	71913-7436
Country	:	US
Telephone Number	:	501-525-1348
Fax Number	:	501-525-3723

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JON PAUL CHAPMAN
Credential	:	O.D.
Telephone Number	:	501-525-1348

Provider Enumeration Date	:	04/11/2008
Last Update Date	:	12/30/2010

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