Charles P. Haddad O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT377 Issued in TN

Legal business name

CHARLES P. HADDAD O.D.

Practice address

105 East Market Street
Somerville, TN 38068-0489

Phone

(901) 465-3955

NPI assigned

Nov 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Charles P. Haddad, O.D.NPI 1316937568

Title

Doctor

Phone

(901) 465-3955

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Charles P Haddad, OD

  • Optometrist
  • Somerville, TN
  • NPI 1316937568
  Authorized official Same address or phone
• Gregory Reeves, O.D.

  • Optometrist
  • Somerville, TN
  • NPI 1366460727
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194895052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380680489",
            "telephone_number": "901-465-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 EAST MARKET STREET",
            "city": "SOMERVILLE",
            "state": "TN",
            "postal_code": "380680489",
            "telephone_number": "901-465-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES P. HADDAD O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HADDAD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "901-465-3955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christin Kelley Bryson, PT, DPT, LAT, ATC
• Cheri Yovonne Buggs, APRN
• Jeremy T Burch, COTA
• Bett Elaine Burns, LPTA
• Justine Elenna Bynum
• John David Cima, D.D.S.
• Jamey K Colston, FNP
• County of Fayette
• Stephanie Grae Cox, RN
• Emily R Crout, D. PH.

• Optometrist in Somerville, TN
• Providers in Somerville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.