Charles L Todd, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

2476 Issued in AR

Practice address

552 Locust St
Conway, AR 72034-5325

Phone

(501) 329-6859

NPI assigned

Oct 27, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Ozark Eye Center, PA

  • Ophthalmology Physician
  • Mountain Home, AR
  • NPI 1770624611

  Corneal and Contact Management

  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1275619876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 LOCUST ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345325",
            "telephone_number": "501-329-6859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 LOCUST ST",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345325",
            "telephone_number": "501-329-6859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "CHARLES",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "AR",
            "license": "2476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134909722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• TLC Pediatrics, PLLC
• TMH Spirit Center LLC
• Lauren Toal
• Audrey Tobey, MD
• Solomon Tobi
• Mohamed Tolba, M.D.
• Odes Tolbert, RECOVERY ASSISTANT
• Toltec Dialysis LLC (College City Dialysis)
• Tom Hudson LLC (Conway Dermatology Clinic)
• Detra Shondrealle Toney Clark, LCSW

• Corneal and Contact Management Optometrist in Conway, AR
• Providers in Conway, AR by specialty
• Corneal and Contact Management Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.