Organization Active NPI

Peter M Charron, OD PS

  • Vision Therapy Optometrist
  • Bellingham, WA
National Provider Identifier
1497018857
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OD60173370 Issued in WA
Legal business name
PETER M CHARRON, OD PS
Doing business as
NVDC
Practice address
1616 Cornwall Ave
Suite 105
Bellingham, WA 98225-4648
Phone
(360) 393-4479
NPI assigned
Jun 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Authorized official

Name
Dr. Peter Charron, O.D.
Title
Optometrist
Phone
(360) 393-4479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X OD60173370 WA Primary

Addresses

Primary practice location

1616 Cornwall Ave
Suite 105
Bellingham, WA 98225-4648

Mailing address

1616 Cornwall Ave
Bellingham, WA 98225-4648
Phone (360) 393-4479

Other names 1

  • NVDC Doing business as

National Provider Directory

National Provider Directory

Locations

1616 Cornwall Ave
Ste 105
Bellingham, WA 98225
Phone (360) 393-4479

1151 Ellis St
Ste 103
Bellingham, WA 98225

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340150400000",
    "number": "1497018857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254648",
            "telephone_number": "360-393-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CORNWALL AVE",
            "address_2": "SUITE 105",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254648",
            "telephone_number": "360-393-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER M CHARRON, OD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A",
        "authorized_official_last_name": "CHARRON",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "360-393-4479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "WA",
            "license": "OD60173370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NVDC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.