JORDAN M CHILLA (NPI# 1174019962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174019962 |
| Entity Type | Individual |
| Full Name | JORDAN M CHILLA |
| Other Name | JORDAN M HEIDELBAUGH |
| Credential | OD |
| Practice Address |
402 Bayard Rd Ste 200 Kennett Square PA 19348-1862 |
| Practice Telephone | 4847708132 |
| Mailing Telephone | 4847708132 |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OEG003411 | PA | Eye and Vision Services Providers |
| Street Address |
402 BAYARD RD STE 200 |
| City | KENNETT SQUARE |
| State | PA |
| Zip Code | 19348-1862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832866 | Bradley Thomas Steese | Social Worker | Holcomb Behavioral Health Systems, 920 E. Baltimore Pike, Kennett Square, PA 19348 | 2020-08-24 |
| 1316319981 | Marie Daddario | Behavioral Analyst | 920 East Baltimore Pike, Holcomb Behavioral Health Systems, Kennett Square, PA 19348 | 2015-10-22 |
| 1578945291 | Therapeutic Guidance LLC | Social Worker | 500 Orchard Avenue, Kennett Square, PA 19348 | 2015-06-19 |
| 1265838858 | Nicole Zitarelli | Physical Therapist | 400 Mcfarlan Road, Kennett Square, PA 19348 | 2014-11-10 |
| 1013320613 | Andrew Casel | Physical Therapy Assistant | 101 East State Street Grs Hr Welcome Center, Kennett Square, PA 19348 | 2014-06-11 |
| 1821408428 | Katherine Scheponik | Occupational Therapist | 101 E. State St., Genesis Rehab Services, Kennet Square, PA 19348 | 2014-05-05 |
| 1518395359 | Scott James Sinick | Physical Therapist | 161 East State Street, Kennet Square, PA 19348 | 2013-10-14 |
| 1730520982 | Amanda Marie Mclean | Occupational Therapy Assistant | 101 State Street, Kennett Square, PA 19348 | 2013-07-16 |
| 1912254889 | Adrien M Trevisan | Dietitian, Registered | 639 Unionville Road, Kennett Square, PA 19348 | 2012-08-10 |
| 1659638781 | Stephanie N Strickland | Speech-Language Pathologist | 101 E State Street, Kennett Square, PA 19348 | 2012-04-13 |
| Find all providers in zip 19348 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists 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. An optometrist has 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. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790852291 | Justin P Greczek | Optometrist | 841 E. Baltimore Pike, Chester County Opticians, Kennett Square, PA 19348 | 2006-11-29 |
| 1083638126 | Barry Raymond Kanofsky | Optometrist | 217 E State St, Kennett Square, PA 19348-3123 | 2006-07-26 |
| 1629001151 | Rachana Chokshi | Optometrist | 232 Cherry Ln, Kennett Square, PA 19348-4709 | 2006-07-08 |
| 1942205976 | Carol Anne B Luchanko-ganly | Optometrist | 402 Bayard Rd, Suite 200, Kennett Square, PA 19348-1862 | 2005-06-16 |
| 1073076097 | Myeyedr Optometry of Pennsylvania, LLC | Optometrist | 841 E Baltimore Pike, Kennett Square, PA 19348-1801 | 2019-04-08 |
| 1306311162 | Roshni Patel | Optometrist | 841 E Baltimore Pike, Kennett Square, PA 19348-1801 | 2018-10-09 |
| 1821508441 | Kennett Square Eye Care LLC | Optometrist | 217 E State St, Kennett Square, PA 19348-3111 | 2017-10-10 |
| 1588990246 | Gina Glassman | Optometrist | 516 School House Rd, Kennett Square, PA 19348-1742 | 2009-10-29 |
| 1922235456 | Ganly Vision Care, PC | Optometrist | 402 Bayard Rd, Suite 200, Kennett Square, PA 19348-1862 | 2009-06-10 |
| 1124202635 | Barry Kanofsky Od Pa | Optometrist | 217 E State St, # 219, Kennett Square, PA 19348-3123 | 2007-12-19 |
| Find all providers in KENNETT SQUARE | ||||
| City | KENNETT SQUARE |
| Zip Code | 19348 |
Please comment or provide details below to improve the information on JORDAN M CHILLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.