NPI 1417916321

Timothy Lee Chancellor, OD

Practitioner Optometrist Chadron, NE

Practice location

Address: 241 E 3rd St, Chadron, NE 69337-2301
Phone: (308) 432-3222
Fax: (308) 432-5344

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1051 (NE)

Other Optometrist providers in Nebraska →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 621 (SD)

Registry record

NPI: 1417916321
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Mar 2006
Record last updated: 12 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.