DR. CHARLES P HADDAD (NPI# 1316937568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316937568 |
| Entity Type | Individual |
| Full Name | DR. CHARLES P HADDAD |
| Credential | OD |
| Practice Address |
105 E Market St Somerville TN 38068-1407 |
| Mailing Address |
Po Box 489 Somerville TN 38068-0489 |
| Practice Telephone | 9014653955 |
| Practice Fax Number | 9014656797 |
| Mailing Telephone | 9014653955 |
| Mailing Fax Number | 9014656797 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2008-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T377 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED HEALTHCARE | 2240072 | 01 | |
| BLUE CROSS BLUE SHIELD | 47519 | 01 | |
| RAIL ROAD MEDICARE | 410026537 | 01 | |
| TN | OMNI | 5843 | 01 |
| TLC MEMPHIS MANAGED CARE | 13963 | 01 | |
| TN | TN CARE | 47519 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609885615 | Charles George Haddad | Internal Medicine | 300 Gateway Dr, Slidell, LA 70461-5540 | 2006-08-07 |
| 1750329538 | Charles George Haddad | Obstetrics & Gynecology | 1033 Us Highway 46, Suite 102, Clifton, NJ 07013-2473 | 2006-06-03 |
| 1700216512 | Charles Haddad | Dentist | 188 W Montauk Hwy, Hampton Bays, NY 11946-2363 | 2013-11-14 |
| 1316955495 | Charles G Haddad Jr. | Orthopaedic Surgery | 3939 Houma Blvd, Suite 21, Metairie, LA 70006-2921 | 2006-08-04 |
| 1366402935 | Charles Joseph Haddad | Family Medicine | 2377 Dunn Ave, Ufjp Dunn Ave Family Practice, Jacksonville, FL 32218-6983 | 2006-03-27 |
| 1770563736 | Charles J Haddad Jr. | Dentist | 510 Superior Ave E, Cleveland, OH 44114 | 2006-01-18 |
| 1346220456 | Charles Haddad | Surgery | 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102-3619 | 2006-01-17 |
| Street Address |
105 E MARKET ST |
| City | SOMERVILLE |
| State | TN |
| Zip Code | 38068-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012369 | Kyley Mitchell | Optometrist | 105 E Market St, Somerville, TN 38068-1407 | 2020-07-31 |
| 1780188110 | Reeves Mobile Od Tn LLC | Optometrist | 105 E Market St, Somerville, TN 38068-1407 | 2018-03-20 |
| 1366460727 | Gregory Reeves | Optometrist | 105 E Market St, Somerville, TN 38068-1407 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063850477 | Paula Lenore Walker | Nurse Practitioner | 25 Woodbridge, Suite A, Somerville, TN 38068 | 2013-06-07 |
| 1902026107 | Alliance Health Services, Inc | Home Health | 201 Lakeview Dr, Suite B, Somerville, TN 38068 | 2007-04-27 |
| 1730239997 | State of Tennessee | Public Health or Welfare | 90 Yum Yum Road, Somerville, TN 38068 | 2007-01-11 |
| 1366514697 | Cynthia D Elder | Pharmacy Technician | 13092 North Main Street, Summerville, TN 38068 | 2006-11-14 |
| 1275612053 | Bessie M Hoskins | Pharmacy Technician | 13092 North Main, Somerville, TN 38068 | 2006-11-03 |
| 1245319797 | Deborah Louise Davis | Pharmacy Technician | 8885 La Grange Rd, Somerville, TN 38068 | 2006-11-03 |
| 1891876868 | John David Cima | Dentist | 13190 N. Main St, Somerville, TN 38068 | 2006-10-18 |
| 1750478277 | Marie Middlecoff Stevens | Pharmacist | 13092 N Main Street, Super Drugs, Somerville, TN 38068 | 2006-10-06 |
| 1588675276 | Wilder Clinic | Family Medicine | 201 Lake View, Ste A Wilder Clinic, Sunerville, TN 38068 | 2006-08-10 |
| 1588687644 | Freds Stores of Tennessee Inc | Pharmacy | Highway 64 West, Somerville, TN 38068 | 2006-07-26 |
| Find all providers in zip 38068 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639447329 | Twin City Eye, Inc. | Optometrist | 22 Mcgrath Hwy # 4, Pearle Vision, Somerville, MA 02143-4508 | 2011-12-08 |
| 1104009232 | Yoram Friedman | Optometrist | 30 Roosevelt Pl, Somerville, NJ 08876-2010 | 2007-12-12 |
| 1205039484 | Arthur Samuel Muccilli | Optometrist | 10 Codington Place, Somerville, NJ 08876 | 2007-06-06 |
| 1003034752 | Steven Angelillo | Optometrist | 286 Broadway, Somerville, MA 02145-2934 | 2007-04-20 |
| 1194895052 | Charles P. Haddad O.d. | Optometrist | 105 East Market Street, Somerville, TN 38068-0489 | 2006-11-08 |
| 1548339690 | Michelle V Timko | Optometrist | 50 Division St Ste 101, Somerville, NJ 08876-2943 | 2006-11-06 |
| 1942216759 | Dzenana Idrizovic | Optometrist | 65 Beacon St, Somerville, MA 02143-4324 | 2006-08-01 |
| 1811935620 | Robert A. Kempler | Optometrist | 1 W Cliff St, Somerville, NJ 08876-1901 | 2006-06-03 |
| 1144289190 | Yasaman Ghavami | Optometrist | 174 Broadway, Somerville, MA 02145-3129 | 2006-03-20 |
| 1396749180 | Anna Digeso | Optometrist | 10 Codington Pl, Somerville, NJ 08876-2408 | 2005-06-09 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 38068 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.