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Physician Compare National (NPI:1578666012)

HEALTHCARE PROVIDER: CHARLES ARNOLD FOSTER II 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 1578666012
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 2567596695
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20100811000763
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name FOSTER
Individual professional last name
Provider First Name CHARLES
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Name Suffix Text II
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY
Individual professional's medical school
Graduation Year 1977
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 1233 E PLEASANT RUN DR
Group Practice or individual's line 1 address
City DESOTO
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 751154200
Group Practice or individual's zip code (9 digits when available)
Phone Number 9722232020
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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