Active NPI
Charles Thomas Cargill, O.D.
- Corneal and Contact Management Optometrist
- Wexford, PA
National Provider Identifier
1578535530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OEG001176
- Practice address
- 6400 Brooktree CT
Suite 220
Wexford, PA 15090-9271 - Phone
- (724) 935-5761
- Fax
- (724) 935-2245
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OEG001176 | PA | Primary |
Addresses
Primary practice location
6400 Brooktree CT
Suite 220
Wexford, PA 15090-9271
Mailing address
6400 Brooktree CT
Suite 220
Wexford, PA 15090-9271
Phone (724) 935-5761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001176 | PA | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wexford Eyecare PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Optometrist
- Wexford, PA
- NPI 1538877287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296000000000",
"number": "1578535530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 BROOKTREE CT",
"address_2": "SUITE 220",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909271",
"telephone_number": "724-935-5761",
"fax_number": "724-935-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 BROOKTREE CT",
"address_2": "SUITE 220",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909271",
"telephone_number": "724-935-5761",
"fax_number": "724-935-2245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARGILL",
"first_name": "CHARLES",
"middle_name": "THOMAS",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-03",
"last_updated": "2011-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "PA",
"license": "OEG001176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.