Individual provider Active NPI

Chalres Albert McBride, OD

  • Optometrist
  • Beaverton, OR
National Provider Identifier
1053303495
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2542T Issued in OR
Practice address
12370 SW 1St St
Beaverton, OR 97005-2847
Phone
(503) 644-3614
Fax
(503) 646-4069
NPI assigned
Aug 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2542T OR Primary

Addresses

Primary practice location

12370 SW 1St St
Beaverton, OR 97005-2847

Mailing address

12370 SW 1St St
Beaverton, OR 97005-2847
Phone (503) 644-3614

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081119000089 OR Practitioner - Optometry 0648265678 Receives reassigned benefits from 1 practitioner
Practice locations: Beaverton, OR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12370 SW 1St St
Beaverton, OR 97005-2847
Phone (503) 644-3614

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2542TORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Albert McBride Optometrist CurrentSince Jul 1, 2013 Accepting new patients
David R. McBride, OD Optometrist PastSince Jul 1, 1966 Accepting new patients

Locations

12370 SW 1st St
Beaverton, OR 97005
Phone (503) 644-3614

Interoperability endpoints

  • Direct secure messaging: mcbride.optometrist@uprisedirect.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053303495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12370 SW 1ST ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052847",
            "telephone_number": "503-644-3614",
            "fax_number": "503-646-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12370 SW 1ST ST",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052847",
            "telephone_number": "503-644-3614",
            "fax_number": "503-646-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "CHALRES",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2542T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.