Charlie John Parsons, O. D.

Individual provider Active NPI Optometrist · Greencastle, PA

NPI 1366440588 · NPPES record last updated Jul 13, 2009

Key facts

NPI
1366440588
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
OEG000051 (PA)
Practice address
50 Eastern Ave
Suite 107
Greencastle, PA 17225-1100
Phone
(717) 597-7708
Fax
(717) 597-1052
NPI assigned
Jul 12, 2005
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Optometry
Education
Pennsylvania College of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greencastle Eye Care Center Inc (2 clinicians)

Practice addresses (Care Compare)

50 Eastern Ave
Suite 107
Greencastle, PA 17225-1100
Phone (717) 597-7708

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20100416000154 PA Practitioner - Optometry 6901902683 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Greencastle Eye Care Center, Inc. Optometrist Current
since Jan 1, 2015
Accepting new patients

Locations

50 Eastern Ave
Greencastle, PA 17225
Phone (717) 597-0095

50 Eastern Ave
Ste 107
Greencastle, PA 17225
Phone (717) 597-7708

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000051 PA Yes

Addresses

Primary practice location

50 Eastern Ave
Suite 107
Greencastle, PA 17225-1100

Mailing address

50 Eastern Ave
Suite 107
Greencastle, PA 17225-1100
Phone (717) 597-7708

Other identifiers

IdentifierTypeStateIssuer
188640OtherPAHEALTH AMERICA HEALTH ASSURANCE
39776OtherPAHIGHMARK BLUE SHIELD
833045OtherPAAETNA HMO
410000963OtherPARAILROAD MEDICARE
5187071OtherPAAETNA PPO
01436201OtherPACBC

Other providers in Greencastle, PA

All providers in Greencastle, PA · Optometrist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.