Provider Demographics
NPI:1023115938
Name:CHATFIELD, JOSEPH F JR (OD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:CHATFIELD
Suffix:JR
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 1:3600 E US HIGHWAY 22 AND 3
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:OH
Mailing Address - Zip Code:45152-9688
Mailing Address - Country:US
Mailing Address - Phone:513-899-2015
Mailing Address - Fax:513-899-4628
Practice Address - Street 1:3600 E US HIGHWAY 22 AND 3
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:OH
Practice Address - Zip Code:45152-9688
Practice Address - Country:US
Practice Address - Phone:513-899-2015
Practice Address - Fax:513-899-4628
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3711/T905152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0603270Medicaid
OH0243550001OtherDMEPOS
OH0603270Medicaid