Mr. Timothy Lee Chancellor is a Chadron, Nebraska based male Optometrist with 30 years of experience in Optometry. He completed his graduation from Other in 1994. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Timothy Lee Chancellor is 1051 for Optometry in Nebraska. Mr. Timothy Lee Chancellor examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Mr. Timothy Lee Chancellor speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Experience:
30+ years
Medical School Attended:
Other
Graduation Year:
1994
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
241 E 3rd St, Chadron, Nebraska, 69337-2301
Phone:
308-432-3222
Fax:
308-432-5344
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2365546637
Enrollment ID:
I20070705000185
NPI Number:
1417916321
NPI Enumeration Date:
20 Mar, 2006
NPI Last Update On:
12 Jan, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Timothy Lee Chancellor are as mentioned below.
License Number
Specialization
State
Status
1051
Optometry
Nebraska
Primary
621
Optometry
South Dakota
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Timothy Lee Chancellor has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Chadron Vision Center, Inc. (8123073574)
3
Chadron Vision Center, Inc. (8123073574)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Timothy Lee Chancellor such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
9200330
Medicaid
South Dakota
9200333
Medicaid
South Dakota
4993076
Other
South Dakota
WELLMARK BCBS
06923
Other
Nebraska
BCBS
410046153
Other
RR MEDICARE
9200332
Medicaid
South Dakota
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
241 E 3rd St, Chadron, Nebraska
Zip:
69337-2301
Phone Number:
308-432-3222
Fax Number:
308-432-5344
Patients can reach Mr. Timothy Lee Chancellor at 241 E 3rd St, Chadron, Nebraska or can call to book an appointment on 308-432-3222. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.