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

Last updated

Oct 25, 2011By the provider in NPPES

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, FAAONPI 1154466449

Title

Owner

Phone

(210) 545-4772

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Charlene Haynes, OD

  • Optometrist
  • San Antonio, TX
  • NPI 1154466449
  Authorized official Same address or phone
• 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": [],
    "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.