Individual provider Active NPI

Charles Elliott Ferrin, OD

  • Optometrist
  • Safford, AZ
National Provider Identifier
1629128525
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
AZ789 Issued in AZ
Practice address
620 S Central Ave
Safford, AZ 85546-2692
Phone
(928) 428-0500
Fax
(928) 428-0563
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X AZ789 AZ Primary

Addresses

Primary practice location

620 S Central Ave
Safford, AZ 85546-2692

Mailing address

620 S Central Ave
Safford, AZ 85546-2692
Phone (928) 428-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050928001210 AZ Practitioner - Optometry 0840225876 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Family Vision Center LLCGroup PAC ID 8022495423, 2 clinicians

Practice addresses (Care Compare)

42680 Hwy 180
Alpine, AZ 85920
Phone (928) 339-3939

620 S Central Ave
Safford, AZ 85546-2647
Phone (928) 428-0500

PO Box
Suite 212
Alpine, AZ 85920

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AZ789AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Family Vision Center LLC Optometrist CurrentSince Apr 1, 2022 Accepting new patients
Alpine Eyecare LLC Optometrist CurrentSince Jun 13, 2022 Accepting new patients
Barnet Dulaney Perkins Eye Center Past Accepting new patients

Locations

620 S Central Ave
Safford, AZ 85546
Phone (928) 428-0500

555 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 766-2020

Organizations & group practices 3

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1629128525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S CENTRAL AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462692",
            "telephone_number": "928-428-0500",
            "fax_number": "928-428-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S CENTRAL AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462692",
            "telephone_number": "928-428-0500",
            "fax_number": "928-428-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRIN",
        "first_name": "CHARLES",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

Verify at the official NPI Registry.