Physician Compare National (NPI:1043240906)

HEALTHCARE PROVIDER: CHARLES SAVAGE ADAMS OD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1043240906
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5092921288
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20101004000819
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	ADAMS
	Individual professional last name
Provider First Name	CHARLES
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SOUTHERN COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1911 BENTON RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE C
	Group Practice or individual's line 2 address
City	BOSSIER CITY
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	711113500
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y