Douglas Owen Charters, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4642T Issued in CA

Practice address

5770 N First St
Fresno, CA 93710

Phone

(559) 432-1700

Fax

(559) 435-9521

NPI assigned

May 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University of California - School of Optometry, 1964

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Serrins Valley Vision Optometry CorpGroup PAC ID 9931437084, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Serrins Valley Vision Optometry Corp.

  • Optometrist
  • Visalia, CA
  • NPI 1558820555
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1154389476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 N FIRST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "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 FIRST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93710",
            "telephone_number": "559-432-1700",
            "fax_number": "559-435-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARTERS",
        "first_name": "DOUGLAS",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4642T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154389476",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Charles
• Dana Marie Oleksa Charles, LMFT
• Eden Nicole Charles
• David Charlestham, PHARMD
• Brian Gary Charlesworth, PHD
• Robert Chartley
• Christine Ann Chase, LCSW 125588
• Kacey Kathleen Chase, LCSW
• McKenna Chase
• Sylvia Chase, P.T.A.

• Optometrist in Fresno, CA
• Providers in Fresno, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.