Individual provider Active NPI

Harry Joel Charm, OD

  • Optometrist
  • Anaheim Hills, CA
National Provider Identifier
1144215575
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5511TPL Issued in CA
Practice address
6200 E Canyon Rim Rd
Ste 101
Anaheim Hills, CA 92807-4317
Phone
(714) 998-2020
Fax
(714) 998-2034
NPI assigned
Sep 12, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT5511TPL CA Primary

Addresses

Primary practice location

6200 E Canyon Rim Rd
Ste 101
Anaheim Hills, CA 92807-4317

Mailing address

6200 E Canyon Rim Rd
Ste 101
Anaheim Hills, CA 92807-4317
Phone (714) 998-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130109000380 CA Practitioner - Optometry 1254584998 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Partners Optometric Group IncGroup PAC ID 5698188621, 4 clinicians

Practice addresses (Care Compare)

6200 E Canyon Rim Rd
Suite 101
Anaheim, CA 92807-4317
Phone (714) 998-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT5511TPLCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Partners Optometric Group Inc Optometrist CurrentSince Aug 4, 2024 Accepting new patients
Alvin Arellano, O.D., Inc. CurrentSince Nov 28, 2023 Accepting new patients
Anaheim Hills Family Optometry Inc Optometrist CurrentSince Oct 15, 2012 Accepting new patients
Jimmy K. Lee, M.D. Inc. Past Accepting new patients

Locations

6200 E Canyon Rim Rd
Ste 101
Anaheim, CA 92807
Phone (714) 998-2020

6200 E Canyon Rim Rd
#101
Anaheim, CA 92807
Phone (714) 992-8020

6200 E Canyon Rim Rd
Ste C101
Anaheim, CA 92807

1909 W Malvern Ave
Fullerton, CA 92833
Phone (714) 992-8020

Organizations & group practices 4

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1144215575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 E CANYON RIM RD",
            "address_2": "STE 101",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928074317",
            "telephone_number": "714-998-2020",
            "fax_number": "714-998-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 E CANYON RIM RD",
            "address_2": "STE 101",
            "city": "ANAHEIM HILLS",
            "state": "CA",
            "postal_code": "928074317",
            "telephone_number": "714-998-2020",
            "fax_number": "714-998-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARM",
        "first_name": "HARRY",
        "middle_name": "JOEL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-12",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5511TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim Hills, CA

Sources for this page

Verify at the official NPI Registry.