Charles Albert McBride
Optometrist in Beaverton, OR. Organization (NPI-2).
NPI number1497257828
StatusActive
Last updated in NPPESApr 21, 2026
Details
- NPI
- 1497257828
- Entity type
- Organization (NPI-2)
- Legal business name
- Charles Albert McBride
- Organization subpart
- No
- Enumeration date
- Mar 1, 2018
- Certification date
- Apr 21, 2026
- Last updated
- Apr 21, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHYSICIAN - OPTOMETRIST
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 2542ATI | OR | Yes |
Practice location
12370 Sw 1st StBeaverton, OR 97005
Phone 503-644-3614 · Fax 503-646-4069
Mailing address
12370 Sw 1st StBeaverton, OR 97005-2847
Phone 503-644-3614 · Fax 503-646-4069
Authorized official
Charles A McBride
Owner
5036443614
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