Individual provider Active NPI

Charles Brian Waitkus, O.D.

  • Optometrist
  • Beckley, WV
National Provider Identifier
1083694129
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
934-IOD Issued in WV
Practice address
43 Eagles Rd
Beckley, WV 25801-3643
Phone
(304) 253-1210
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 934-IOD WV Primary

Addresses

Primary practice location

43 Eagles Rd
Beckley, WV 25801-3643

Mailing address

501 Summers St
Charleston, WV 25301-1239
Phone (304) 343-3937

Other practice location 1

501 Summers St
Charleston, WV 25301-1239
Phone (304) 343-3937

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cwaitkus@wveye.emadirect.md West Virginia Eye Consultants, LLC
Direct Messaging Address cwaitkus@wveye.emadirect.md West Virginia Eye Consultants, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090311000006 WV Practitioner - Optometry 7113083510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Virginia Eye Consultants LLCGroup PAC ID 2062689524, 13 clinicians

Practice addresses (Care Compare)

43 Eagles Rd
Beckley, WV 25801-3643
Phone (304) 253-1210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
934-IODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
West Virginia Eye Consultants, LLC Optometrist CurrentSince Dec 20, 2021 Accepting new patients

Locations

43 Eagles Rd
Beckley, WV 25801
Phone (304) 253-1210

501 Summers St
Charleston, WV 25301
Phone (304) 341-1131

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1083694129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SUMMERS ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253011239",
            "telephone_number": "304-343-3937",
            "fax_number": "304-344-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 EAGLES RD",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013643",
            "telephone_number": "304-253-1210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Summers St",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253011239",
            "country_code": "US",
            "telephone_number": "304-343-3937",
            "fax_number": "304-344-3957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAITKUS",
        "first_name": "CHARLES",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "934-IOD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwaitkus@wveye.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "West Virginia Eye Consultants, LLC",
            "address_1": "43 Eagles Rd",
            "city": "Beckley",
            "state": "WV",
            "country_code": "US",
            "postal_code": "258013643",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cwaitkus@wveye.emadirect.md",
            "affiliation": "Y",
            "affiliationName": "West Virginia Eye Consultants, LLC",
            "address_1": "501 Summers St",
            "city": "Charleston",
            "state": "WV",
            "country_code": "US",
            "postal_code": "253011239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.