Active NPI
Charles E Moorhead OD PS Inc
- Clinic/Center
- Bremerton, WA
National Provider Identifier
1255517074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.