Charles Howard Bailey, O.D.
Individual provider Active NPI Corneal and Contact Management Optometrist · Berkeley, CA
NPI 1407993017 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407993017
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Corneal and Contact Management Optometrist 152WC0802X
- License
- 07410TPG (CA)
- Practice address
- 360 Minor Hall
Berkeley, CA 94720-2020 - Phone
- (510) 642-5365
- Fax
- (510) 642-8012
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7410 | CA | MD | Clinical Social Worker |
| 07410TPG | CA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California at Berkeley | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 07410TPG | CA | Yes |
Addresses
Primary practice location
360 Minor Hall
Berkeley, CA 94720-2020
Mailing address
360 Minor Hall
Berkeley, CA 94720-2020
Phone (510) 642-5365
Other providers in Berkeley, CA
- Trissa Baden
- Catherine Bae
- Janis Baeuerlen
- Alanna Elizabeth Baginski
- Sohaila Baheer
- Tamika Elecia Bailey
- Richard P. Bails
- Candice Lanell Bain
- Stephanie Bain
- Christina Baird
All providers in Berkeley, CA · Corneal and Contact Management Optometrist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.