Charles Edward Porch, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC1496 Issued in FL

Practice address

2650 Creighton Rd
Pensacola, FL 32504-7382

Phone

(850) 479-1422

Fax

(850) 479-1419

NPI assigned

Mar 22, 2007

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

State licenses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452816000000",
    "number": "1356467088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 BLITHEWOOD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325148193",
            "telephone_number": "850-479-1422",
            "fax_number": "850-479-1419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 CREIGHTON RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047382",
            "telephone_number": "850-479-1422",
            "fax_number": "850-479-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORCH",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002346900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leah Alexis Popejoy, APRN
• Michael Allen Popiel
• Sergei Borisovitch Popov, DO
• Mary Elizabeth Popovich, LMHC
• Leslie Popp, M.S.
• Jennifer Leigh Portell
• Henry Olin Porter III, M.D.
• Kimberly Porter
• Steven Porter, PSY D
• Luciano Posada, MD

• Optometrist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2016; 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.