Active NPI
Charles E Barnes, OD PA
- Optometrist
- McComb, MS
National Provider Identifier
1083783963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 531
- Practice address
- 414A Marion Ave
McComb, MS 39648-2710 - Phone
- (601) 684-6241
- Fax
- (601) 684-0280
- NPI assigned
- Nov 7, 2006
- Last updated
- Dec 19, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 531 | MS | Primary |
Addresses
Primary practice location
414A Marion Ave
McComb, MS 39648-2710
Mailing address
PO Box 688
McComb, MS 39649-0688
Phone (601) 684-6241
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1393509 | Other | LA | MEDICAID |
| 00880058 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 531 | MS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Chuck Barnes, PA | Optometrist | Current | Accepting new patients |
Locations
414A Marion Ave
McComb, MS 39648
Phone (601) 684-6241
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1083783963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 688",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396490688",
"telephone_number": "601-684-6241",
"fax_number": "601-684-0280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414A MARION AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482710",
"telephone_number": "601-684-6241",
"fax_number": "601-684-0280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "CHARLES",
"middle_name": "E",
"credential": "OD PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "531",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "1393509",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00880058",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.