Charles Alva Shaller, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

9400350 Issued in NC

Practice address

36 Westgate PLZ
Franklin, NC 28734

Phone

(828) 369-4236

Fax

(828) 369-0753

NPI assigned

May 10, 2006

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 NC

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

University of California, San Diego School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Charles a Shaller MD PLLC

  • Ophthalmology Physician
  • Franklin, NC
  • NPI 1568859247
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1487603858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WESTGATE PLZ",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "287341422",
            "telephone_number": "828-369-4236",
            "fax_number": "828-369-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WESTGATE PLZ",
            "city": "FRANKLIN",
            "state": "NC",
            "postal_code": "28734",
            "telephone_number": "828-369-4236",
            "fax_number": "828-369-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALLER",
        "first_name": "CHARLES",
        "middle_name": "ALVA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "9400350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8975409",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Lynette Schosser, MPT
• Steven R Schweinshaupt, M.D.
• Elizabeth A Scott, MS,OTR
• Betty Jean Scotto, M.S.P.T.
• Select Home Health Care Inc (Kelley's Home Health Services)
• Stacy Parrish Shannon, PHARM.D.
• Sharpco Inc (U Save It Pharmacy Franklin)
• Sharpco Inc (u save it pharmacy franklin LTC)
• Sharpe McCook Pharmacy Inc. (U Save It Pharmacy Franklin)
• Elizabeth Jean Sides, LCSWA

• Ophthalmology Physician in Franklin, NC
• Providers in Franklin, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.