Healthcare Provider Details

I. General information

NPI: 1265309710
Provider Name (Legal Business Name): SAMANTHA CHAPMAN OD, MS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2025
Last Update Date: 10/20/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 455 BOX 208
FPO AP
96540-0003
US

IV. Provider business mailing address

U.S. NAVAL HOSPITAL GUAM FARENHOLT AVE. BLDG 50
AGANA HEIGHTS GU
96910
US

V. Phone/Fax

Practice location:
  • Phone: 671-344-9340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number0620000057
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: