Provider Demographics
NPI:1194423582
Name:ABNEY, CHASITY NICOLE
Entity type:Individual
Prefix:
First Name:CHASITY
Middle Name:NICOLE
Last Name:ABNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHASITY
Other - Middle Name:NICOLE
Other - Last Name:MANKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5720 COLLEGE CORNER PIKE
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-1197
Mailing Address - Country:US
Mailing Address - Phone:513-523-8798
Mailing Address - Fax:513-523-5710
Practice Address - Street 1:5720 COLLEGE CORNER PIKE
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-1639
Practice Address - Country:US
Practice Address - Phone:513-523-8798
Practice Address - Fax:513-523-5710
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-16
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH013501-SC156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician