Provider Demographics
NPI:1417949355
Name:CHARME, ALVIN SID (OD)
Entity Type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:SID
Last Name:CHARME
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2440 WILMINGTON PIKE
Mailing Address - Street 2:SUITE B
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45419-2459
Mailing Address - Country:US
Mailing Address - Phone:937-235-0002
Mailing Address - Fax:937-235-2627
Practice Address - Street 1:8276 OLD TROY PIKE
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-1056
Practice Address - Country:US
Practice Address - Phone:937-235-0002
Practice Address - Fax:937-235-2627
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2725 T2157152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist