Provider Demographics
NPI:1487642526
Name:BYRNES, CHARLES FRANCIS (OD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:FRANCIS
Last Name:BYRNES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:338 N ELM ST
Mailing Address - Street 2:STE 101
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-2177
Mailing Address - Country:US
Mailing Address - Phone:336-272-5252
Mailing Address - Fax:336-272-0939
Practice Address - Street 1:2100 W CORNWALLIS DR STE J
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-7015
Practice Address - Country:US
Practice Address - Phone:336-288-3937
Practice Address - Fax:336-288-8177
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2019-06-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC911152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2200011Medicare ID - Type Unspecified