Individual provider Active NPI

Charles Arnold Foster II, OD

  • Optometrist
  • Desoto, TX
National Provider Identifier
1578666012
Registry record updated May 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2491T Issued in TX
Practice address
1233 E Pleasant Run Rd
Desoto, TX 75115-4200
Phone
(972) 223-2020
Fax
(972) 293-1860
NPI assigned
Sep 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2491T TX Primary

Addresses

Primary practice location

1233 E Pleasant Run Rd
Desoto, TX 75115-4200

Mailing address

PO Box 146
Lancaster, TX 75146
Phone (972) 223-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100811000763 TX Practitioner - Optometry 2567596695 Reassigns benefits to 1 organization
Practice locations: Cedar Hill, TX; Desoto, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2491TXMDChiropractor
2491TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optical Boutique and Eyecare Optometrist CurrentSince Jun 10, 2022 Accepting new patients
Charles a Foster O.D. Optometrist PastSince Jul 29, 2010 Accepting new patients
Cedar Hill Eye Care PLLC Optometrist Past Accepting new patients
Dr Charles a Foster Optometrist PastSince Jul 29, 2010 Accepting new patients

Locations

1233 E Pleasant Run Rd
#A
Desoto, TX 75115
Phone (972) 223-2020

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305763200000",
    "number": "1578666012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "75146",
            "telephone_number": "972-223-2020",
            "fax_number": "972-228-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 E PLEASANT RUN RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751154200",
            "telephone_number": "972-223-2020",
            "fax_number": "972-293-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "CHARLES",
        "middle_name": "ARNOLD",
        "name_suffix": "II",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2491T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.