Provider Demographics
NPI:1073296273
Name:CHANDLER, CAMBRIE SHAE (OD)
Entity type:Individual
Prefix:
First Name:CAMBRIE
Middle Name:SHAE
Last Name:CHANDLER
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Gender:
Credentials:OD
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Mailing Address - Street 1:2661 RIVA RD STE 1030
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7131
Mailing Address - Country:US
Mailing Address - Phone:410-571-8733
Mailing Address - Fax:410-571-6309
Practice Address - Street 1:12 CHATHAM HEIGHTS RD STE 100
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-2593
Practice Address - Country:US
Practice Address - Phone:540-371-2777
Practice Address - Fax:540-371-0922
Is Sole Proprietor?:No
Enumeration Date:2023-08-14
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA00618003324152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist