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NPI Code Detail

MEDICARE: DR. CHARLES D MAYRON M.D., F.A.C.S.

MEDICARE:  DR. CHARLES D MAYRON  M.D., F.A.C.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207WX0107XRetina Specialist (Ophthalmology) PhysicianJ3155TX
2174400000XSpecialist171638NY
3207W00000XOphthalmology PhysicianEMC0009463MI
4207W00000XOphthalmology Physician70055AZ

Other Identifiers

General Provider Information

NPI Number : 1831119932
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES D MAYRON M.D., F.A.C.S.
Provider Business Mailing Address
First Line : 63 S ROCKFORD DR STE 220
Second Line :
City : TEMPE
State : AZ
Zip : 85288-6226
Country : US
Telephone Number : 480-892-8400
Fax Number : 602-508-4830
Provider Business Practice Location Address
First Line : 5540 SARATOGA BLVD STE 200
Second Line :
City : CORPUS CHRISTI
State : TX
Zip : 78413-2999
Country : US
Telephone Number : 361-993-8510
Fax Number : 361-993-9184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2006
Last Update Date : 05/15/2026

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