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Physician Compare National (NPI:1861485427)

HEALTHCARE PROVIDER: JOE F CHANEY JR. OD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1861485427
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7810008794
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20101029001132
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CHANEY
Individual professional last name
Provider First Name JOE
Individual professional first name
Provider Middle Name F
Individual professional middle name
Provider Name Suffix Text JR.
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Individual professional's medical school
Graduation Year 1979
Individual professional's medical school graduation year
Primary Specialty OPTOMETRY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 119 W COLLEGE ST
Group Practice or individual's line 1 address
City NASHVILLE
Group Practice or individual's city
State AR
Group Practice or individual's state
Zip Code 718522017
Group Practice or individual's zip code (9 digits when available)
Phone Number 8708452020
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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