Provider Demographics
NPI:1710548466
Name:CHAPPEL, JANTZ REMINGTON (OD)
Entity type:Individual
Prefix:
First Name:JANTZ
Middle Name:REMINGTON
Last Name:CHAPPEL
Suffix:
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 1:4846 FM 1463 STE 400
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494
Mailing Address - Country:US
Mailing Address - Phone:281-941-8408
Mailing Address - Fax:281-941-8557
Practice Address - Street 1:4846 FM 1463 STE 400
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494
Practice Address - Country:US
Practice Address - Phone:281-941-8408
Practice Address - Fax:281-941-8557
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019021930152W00000X
TX10120TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist