Individual
DR. CHARLES AUSTIN NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
US HWY 160 & NAVAJO ROUTE 25 - RED MESA, TEECNOSPOS, AZ 86514
(928) 656-5165
(928) 656-5165
Mailing address
HCR 6100 BOX 30, TEECNOSPOS, AZ 86514
(928) 656-5165
(928) 656-5162
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
2884/T823
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19385536
—
CO
05
—
303186
—
AZ
05
—
83606262
—
NM
Enumeration date
09/08/2005
Last updated
03/30/2010
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