Provider Demographics
NPI:1154349306
Name:CHAPMAN, JON ANTHONY (OD)
Entity type:Individual
Prefix:DR
First Name:JON
Middle Name:ANTHONY
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8687 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 2332
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-4427
Mailing Address - Country:US
Mailing Address - Phone:214-987-9583
Mailing Address - Fax:
Practice Address - Street 1:8687 N CENTRAL EXPY
Practice Address - Street 2:SUITE 2332
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-4427
Practice Address - Country:US
Practice Address - Phone:214-987-9583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX05769TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist