Active NPI
Charles E Belles, OD OPTOMETRIST
- Optometrist
- Canton, OH
National Provider Identifier
1063566420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3920T1650
- Practice address
- 4571 Everhard Rd NW
Canton, OH 44718 - Phone
- (330) 494-5020
- Fax
- (330) 494-0004
- NPI assigned
- Jan 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3920T1650 | OH | Primary |
Addresses
Primary practice location
4571 Everhard Rd NW
Canton, OH 44718
Mailing address
4571 Everhard Rd NW
Canton, OH 44718
Phone (330) 494-5020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3920T1650 | OH | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063566420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4571 EVERHARD RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "44718",
"telephone_number": "330-494-5020",
"fax_number": "330-494-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4571 EVERHARD RD NW",
"city": "CANTON",
"state": "OH",
"postal_code": "44718",
"telephone_number": "330-494-5020",
"fax_number": "330-494-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BELLES",
"first_name": "CHARLES",
"middle_name": "E",
"credential": "OD OPTOMETRIST",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3920T1650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.