Charlene L. Haynes

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

04268TG Issued in TX

Legal business name

CHARLENE L. HAYNES

Practice address

16793 San Pedro Ave
San Antonio, TX 78232-2349

Phone

(210) 545-4772

Fax

(210) 545-5350

NPI assigned

Jun 8, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charlene L Haynes, OD, FAAO

Title

Owner

Phone

(210) 545-4772

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anna McKinney, O.D.

  • Optometrist
  • San Antonio, TX
  • NPI 1417339581
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1447544200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16793 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322349",
            "telephone_number": "210-545-4772",
            "fax_number": "210-545-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16793 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322349",
            "telephone_number": "210-545-4772",
            "fax_number": "210-545-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLENE L. HAYNES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-545-4772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD, FAAO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "04268TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1154466449",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Chappel, MD
• Chantel Renae Chappell
• Christopher Chaput, MD
• Michael Chapyak, MS, OTR/L
• Sokratis Michael Charisis, MD
• Charles a. Holshouser Jr, M.D. P.a.
• Charles E. Baldwin MD
• Charles Elias Gutierrez PHD LLC
• Charles Elias Gutierrez,PHD,LLC
• Charles H Sargent, MD PA

• Eyewear Supplier in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.