Organization Active NPI

Charles E Moorhead OD PS Inc

  • Clinic/Center
  • Bremerton, WA
National Provider Identifier
1255517074
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CHARLES E MOORHEAD OD PS INC
Practice address
6797 State Highway 303 NE
Bremerton, WA 98311-3736
Phone
(360) 692-0923
NPI assigned
Jan 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Dr. Charles Emil Moorhead, OD
Title
President
Phone
(360) 692-0923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6797 State Highway 303 NE
Bremerton, WA 98311-3736

Mailing address

4898 NW Francis Dr
Silverdale, WA 98383-9239
Phone (360) 308-0052

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1255517074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4898 NW FRANCIS DR",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839239",
            "telephone_number": "360-308-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6797 STATE HIGHWAY 303 NE",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983113736",
            "telephone_number": "360-692-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES E MOORHEAD OD PS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "MOORHEAD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "EMIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-692-0923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.