Active NPI
Charles Stanley Bailey, OD
- Optometrist
- Gilbert, AZ
National Provider Identifier
1346766698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1362
- Practice address
- 3098 E. Waterman Way
Gilbert, AZ 85297 - Phone
- (480) 219-6207
- NPI assigned
- Aug 18, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1572 | IA | |
| Optometrist | 152W00000X | 1362 | AZ | Primary |
Addresses
Primary practice location
3098 E. Waterman Way
Gilbert, AZ 85297
Mailing address
3098 E Waterman Way
Gilbert, AZ 85297-7621
Phone (480) 219-6207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1362 | AZ | MD | Psychologist |
| 1572 | IA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1346766698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3098 E WATERMAN WAY",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852977621",
"telephone_number": "480-219-6207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3098 E. WATERMAN WAY",
"city": "GILBERT",
"state": "AZ",
"postal_code": "85297",
"telephone_number": "480-219-6207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "CHARLES",
"middle_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "1572",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.