Active NPI
Peter Charron, OD
- Optometrist
- Bellingham, WA
National Provider Identifier
1689820805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 60173370
- Practice address
- 1616 Cornwall Ave
105
Bellingham, WA 98225-4648 - Phone
- (360) 393-4479
- Fax
- (360) 746-8661
- NPI assigned
- Aug 8, 2008
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 60173370 | WA | Primary |
Addresses
Primary practice location
1616 Cornwall Ave
105
Bellingham, WA 98225-4648
Mailing address
1616 Cornwall Ave
105
Bellingham, WA 98225-4648
Phone (360) 393-4479
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 |
|---|---|---|---|
| 60173370 | WA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1689820805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 CORNWALL AVE",
"address_2": "105",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254648",
"telephone_number": "360-393-4479",
"fax_number": "360-746-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 CORNWALL AVE",
"address_2": "105",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254648",
"telephone_number": "360-393-4479",
"fax_number": "360-746-8661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARRON",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-08",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "60173370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.