Charles R Coverdale (NPI# 1194812404, PAC ID# 4183780455) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1194812404 |
| PAC ID by PECOS | 4183780455 |
| Professional Enrollment ID | I20090311000707 |
| Full Name | Charles R Coverdale |
| Organization Legal Name | RON COVERDALE OD PS |
| Address |
6830 Ne Bothell Way Suite B Kenmore WA 98028-3546 |
| Phone Number | 4254853051 |
| Gender | M |
| Medical School | UNIVERSITY OF CALIFORNIA - SCHOOL OF OPTOMETRY |
| Graduation Year | 1966 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 2365508637 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6830 Ne Bothell Way, Suite B, Kenmore, WA 98028-3546 | 4254853051 | RON COVERDALE OD PS |
| Organization Legal Name | RON COVERDALE OD PS |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana L Mcfarland | Optometry | Ron Coverdale Od Ps | 6830 Ne Bothell Way, Suite B, Kenmore, WA 98028-3546 |
| Street Address |
6830 NE BOTHELL WAY SUITE B |
| City | KENMORE |
| State | WA |
| Zip | 98028-3546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Diana L Mcfarland | Optometry | Ron Coverdale Od Ps | 6830 Ne Bothell Way, Suite B, Kenmore, WA 98028-3546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wayne Edward Carr | Psychologist, Clinical | 7800 Ne Bothell Way, 155b, Kenmore, WA 98028-1830 | |
| Helan Khang Lee-garrard | Family Medicine | King County Public Hospital District No 2 | 18151 68th Ave Ne, Suite 100, Kenmore, WA 98028-2835 |
| Thomas S Dawson | Family Medicine | King County Public Hospital District No 2 | 18151 68th Ave Ne, Suite 100, Kenmore, WA 98028-2835 |
| Vinai Adugal Prakash | Podiatry | 6610 Nw 181st St, Suite 4, Kenmore, WA 98028-4867 | |
| James P Mahar | Chiropractic | 6016 Ne Bothell Way, Suite B, Kenmore, WA 98028-9403 |
| City | KENMORE |
| Zip Code | 98028 |
| Specialty | OPTOMETRY |
| City + Specialty | KENMORE + OPTOMETRY |
Please comment or provide details below to improve the information on Charles R Coverdale.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.