Individual provider Active NPI

Charles F Bittel III, O.D.

  • Optometrist
  • Fullerton, CA
National Provider Identifier
1912112996
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 13002 TPA Issued in CA
Practice address
270 Laguna Rd
Suite 100
Fullerton, CA 92835-2521
Phone
(714) 525-2375
Fax
(714) 871-9280
NPI assigned
May 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 13002 TPA CA Primary

Addresses

Primary practice location

270 Laguna Rd
Suite 100
Fullerton, CA 92835-2521

Mailing address

270 Laguna Rd
Suite 100
Fullerton, CA 92835-2521
Phone (714) 525-2375

Other identifiers 1

IdentifierTypeStateIssuer
OPT 13002 TPAOtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080519000196 CA Practitioner - Optometry 1850460726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles Bittel III OD IncGroup PAC ID 1456596345, 2 clinicians

Practice addresses (Care Compare)

20399 Yorba Linda Blvd
Yorba Linda, CA 92886-3062
Phone (714) 779-8521

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT 13002 TPACAMDOptometrist
13002CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Bittel III, O.D., Inc. Optometrist CurrentSince Feb 11, 2013 Accepting new patients
Charles F. Bittel, O.D., Inc. Optometrist PastSince Feb 11, 2013 Accepting new patients

Locations

20399 Yorba Linda Blvd
Yorba Linda, CA 92886
Phone (714) 779-8521

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912112996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 LAGUNA RD",
            "address_2": "SUITE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352521",
            "telephone_number": "714-525-2375",
            "fax_number": "714-871-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 LAGUNA RD",
            "address_2": "SUITE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352521",
            "telephone_number": "714-525-2375",
            "fax_number": "714-871-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTEL",
        "first_name": "CHARLES",
        "middle_name": "F",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 13002 TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OPT 13002 TPA",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.