Charlotte Adele Tlachac, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

065737 Issued in CA

Practice address

1429 High St
Alameda, CA 94501-3102

Phone

(510) 522-5097

Fax

(510) 522-0815

NPI assigned

Oct 26, 2005

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203984000000",
    "number": "1548250806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 HIGH ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013102",
            "telephone_number": "510-522-5097",
            "fax_number": "510-522-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1429 HIGH ST",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945013102",
            "telephone_number": "510-522-5097",
            "fax_number": "510-522-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TLACHAC",
        "first_name": "CHARLOTTE",
        "middle_name": "ADELE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2008-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "065737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD000010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicia Tigner
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• Paul H Ting, D.D.S.
• TLC Behavioral Health and Psychology Corporation
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• Travis Lafayette Tolbert
• Malaysia Tolliver
• Michiah Ramaneque Toney

• Optometrist in Alameda, CA
• Providers in Alameda, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.