National Provider Identifier Database

CHARLES R COVERDALE, OD – NPI #1194812404
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.


Contact Information

CHARLES R COVERDALE, OD
6830 NE BOTHELL WAY
SUITE B
KENMORE, WA98028-3546
Phone: 425-485-3051
Fax: 425-482-2441
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for CHARLES R COVERDALE

NPI Number 1194812404
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/06/2006
Last updated 03/09/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • WA License #: 895
  • WA Other: 912126732 TAX ID
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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