Charles Harold Cole, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002042B Issued in IN

Practice address

2934 Frontage Rd
Warsaw, IN 46580-3914

Phone

(574) 269-5558

Fax

(574) 269-3088

NPI assigned

Jun 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: charles.cole@uprisedirect.com

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1962440792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2934 FRONTAGE RD",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803914",
            "telephone_number": "574-269-5558",
            "fax_number": "574-269-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 FRONTAGE RD",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465803914",
            "telephone_number": "574-269-5558",
            "fax_number": "574-269-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "CHARLES",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002042B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100159090",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madilynn Clabough, RBT
• Jason E Clay, APRN, NP-C
• Alysha Clemens, PT, DPT
• Clinic of R L Ohalloran
• Dana Levon Coates, D.O.
• Stephanie Marie Compson, MA
• Hanna Conley
• Naomi Contreras
• Angeline Cook
• Lilliah Cook

• Optometrist in Warsaw, IN
• Providers in Warsaw, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.