Jean B Charles, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

056584 Issued in MA

Practice address

2110 Dorchester Ave
Suite 306
Dorchester Center, MA 02124-5628

Phone

(617) 296-1828

Fax

(617) 296-5717

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Boston University School of Medicine, 1985

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcharles181463@direct.ochin.org

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.

• Eye Services Consultants Inc PC

  • Ophthalmology Physician
  • Dorchester, MA
  • NPI 1225180797
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396940326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365481",
            "city": "HYDE PARK",
            "state": "MA",
            "postal_code": "021360009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 DORCHESTER AVE",
            "address_2": "SUITE 306",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021245628",
            "telephone_number": "617-296-1828",
            "fax_number": "617-296-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "JEAN",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "056584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3071413",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Casey, PA
• Carlos Y Castillo
• Celtic Homecare by Catherine LLC
• Dania Chambers, PTA
• Charaka Health Care, Inc.
• Chestnut Dermapathology Associates
• Carolyn Chu, MS, RD
• Gary Ciambrone, M.S. CCC-SLP
• Meghan Cobb, N.P.
• Codman Academy Charter School

• Ophthalmology Physician in Dorchester Center, MA
• Providers in Dorchester Center, MA by specialty
• Ophthalmology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.