WALT'S OPTICAL SHOP
NPI 1629280359
Specialist in Pocatello, ID

Q: What is Charles P. Lawless, M.D., P.A.'s NPI number?

The NPI number for Charles P. Lawless, M.D., P.A. is 1629280359. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Walt's Optical Shop.

Q: What is Charles P. Lawless, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 04, 2007

1777 E CLARK ST STE 310, POCATELLO, ID 83201(208) 232-4133(208) 233-5736 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Walt's Optical Shop NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WALT'S OPTICAL SHOP (NPI 1629280359) is a healthcare organization registered as a specialist in Pocatello, Idaho and active in the NPI registry since May 2007. The organization lists Charles Pittman Lawless, President, as its authorized official.

NPPES Registry Identity

NPI1629280359

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCHARLES P. LAWLESS, M.D., P.A.

Location Address1777 E CLARK ST STE 310Pocatello, ID 83201-3357

Mailing Address1777 E Clark St Ste 310Pocatello, ID 83201-3357 · (208) 232-4133 · Fax (208) 233-5736

Phone(208) 232-4133

Fax(208) 233-5736

Organization SubpartNo

Authorized OfficialCharles Pittman LawlessPresident · (208) 232-4133

Enumeration DateMay 4, 2007

Last NPPES UpdateDecember 3, 2007

✔ NPI 1629280359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in ID · M-3434

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1777 E CLARK ST STE 310, Pocatello, ID 83201

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Other Names 1

Doing Business AsWalt's Optical Shop

Other Identifiers 5

Medicare NSC0209730001ID

Medicare UPINB63305ID

Medicare ID-Type Unspecified1110597ID

Other000010005308ID · Regence Blue Shield Of Id

Other07302ID · Blue Cross Of Idaho

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles P. Lawless, M.D., P.A.'s NPI number?

The NPI number for Charles P. Lawless, M.D., P.A. is 1629280359. It was assigned to this organization in the NPPES registry on May 4, 2007. The provider is doing business as Walt's Optical Shop.

Where is Charles P. Lawless, M.D., P.A. located?

Charles P. Lawless, M.D., P.A. is located at 1777 E Clark St Ste 310, Pocatello, ID 83201. The listed phone number is (208) 232-4133.

What is Charles P. Lawless, M.D., P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Charles P. Lawless, M.D., P.A. was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.