Charles D Chadwell, O.D
Individual provider Active NPI Optometrist · Albertville, AL
NPI 1497831937 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1497831937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- S-568-TA-269 (AL)
- Practice address
- 428 N Carlisle St
Suite C
Albertville, AL 35950-1775 - Phone
- (256) 894-5955
- NPI assigned
- Oct 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| S-568-TA-269 | AL | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | S-568-TA-269 | AL | Yes |
Addresses
Primary practice location
428 N Carlisle St
Suite C
Albertville, AL 35950-1775
Mailing address
428 N Carlisle St
Suite C
Albertville, AL 35950-1775
Phone (256) 894-5955
Other providers in Albertville, AL
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.