Active NPI
Christy Bankston Wallace, O.D.
- Optometrist
- Florence, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1087
- Practice address
- 400 N Cashua Dr
Florence, SC 29501-2098 - Phone
- (843) 664-9393
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1087 | SC | Primary |
Addresses
Primary practice location
400 N Cashua Dr
Florence, SC 29501-2098
Mailing address
PO Box 11407
Birmingham, AL 35246-8575
Phone (864) 359-1308
Other practice location 1
504 S 4th St
Hartsville, SC 29550-5720
Phone (843) 664-9393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D10879 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 N Cashua Dr
Florence, SC 29501-2098
Phone (864) 654-6706
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.89 of 100
- Quality
- 83.39
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1087 | SC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clemson Eye, PA | Optometrist | Current | Accepting new patients |
| Clemson Eye, PA | Optometrist | Current | Accepting new patients |
| Florence Primary Eye Care, PC | Optometrist | Current | Accepting new patients |
| Clemson Eye, PA | Optometrist | Past | Accepting new patients |
| Harrington Vision Center Inc II | Optometrist | Past | Accepting new patients |
Locations
15 Southern Center Ct
Easley, SC 29642
Phone (864) 722-1133
400 N Cashua Dr
Florence, SC 29501
Phone (843) 664-9398
2014 S Irby St
Florence, SC 29505
Phone (843) 292-0307
504 S 4th St
Hartsville, SC 29550
Phone (843) 332-7171
Interoperability endpoints
- christy.wallace.d1.p2@direct.clemsoneye.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- christy.wallace.p1@direct.clemsoneye.nextgenshare.com
Organizations & group practices 5
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.
-
- Optometrist
- Florence, SC
- NPI 1134169147
-
- Optometrist
- Hartsville, SC
- NPI 1629686373
-
- Optometrist
- Clemson, SC
- NPI 1790939254
-
- Optometrist
- Florence, SC
- NPI 1306890231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1356498547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11407",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352468575",
"telephone_number": "864-359-1308",
"fax_number": "239-496-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N CASHUA DR",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295012098",
"telephone_number": "843-664-9393"
}
],
"practiceLocations": [
{
"address_1": "504 S 4th St",
"address_purpose": "LOCATION",
"city": "Hartsville",
"state": "SC",
"postal_code": "295505720",
"country_code": "US",
"telephone_number": "843-664-9393",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALLACE",
"first_name": "CHRISTY",
"middle_name": "BANKSTON",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D10879",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.