Organization Active NPI

Douglas O. Charters

  • Optometrist
  • Fresno, CA
National Provider Identifier
1083855639
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4642T Issued in CA
Legal business name
DOUGLAS O. CHARTERS
Practice address
5770 N 1St St
Fresno, CA 93710-6204
Phone
(559) 432-1700
Fax
(559) 435-9521
NPI assigned
Mar 11, 2009
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Authorized official

Name
Dr. Douglas O. Charters, O.D.NPI 1154389476
Title
Owner
Phone
(559) 432-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 4642T CA Primary

Addresses

Primary practice location

5770 N 1St St
Fresno, CA 93710-6204

Mailing address

5770 N 1St St
Fresno, CA 93710-6204
Phone (559) 432-1700

National Provider Directory

National Provider Directory

Locations

5770 N 1st St
Fresno, CA 93710
Phone (559) 432-1700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1083855639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106204",
            "telephone_number": "559-432-1700",
            "fax_number": "559-435-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106204",
            "telephone_number": "559-432-1700",
            "fax_number": "559-435-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS O. CHARTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "CHARTERS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-432-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4642T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.