Active NPI
Christopher Wayne Enzor, LDO
- Contact Lens Technician/Technologist
- Darlington, SC
National Provider Identifier
1366014672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contact Lens Technician/Technologist
- License
- 599
- Practice address
- 251 Andover PL
Darlington, SC 29532-1500 - Phone
- (843) 393-6861
- Fax
- (843) 393-2427
- NPI assigned
- Jul 15, 2021
- Last updated
- Aug 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 156FC0800X | 599 | SC | Primary |
| Optician | 156FX1800X | 1219 | SC |
Addresses
Primary practice location
251 Andover PL
Darlington, SC 29532-1500
Mailing address
251 Andover PL
Darlington, SC 29532-1500
Phone (843) 393-6861
Other names 1
- Christopher Wayne Enzor
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | chrisenzor@icloud.com | ||
| Other URL | cwenzor.s07188.us@wal-mart.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1219 | SC | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723507200000",
"number": "1366014672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "251 ANDOVER PL",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295321500",
"telephone_number": "843-393-6861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 ANDOVER PL",
"city": "DARLINGTON",
"state": "SC",
"postal_code": "295321500",
"telephone_number": "843-393-6861",
"fax_number": "843-393-2427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENZOR",
"first_name": "CHRISTOPHER",
"middle_name": "WAYNE",
"name_prefix": "Mr.",
"credential": "LDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-15",
"last_updated": "2024-08-13",
"certification_date": "2024-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": "SC",
"license": "599",
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "1219",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "chrisenzor@icloud.com",
"affiliation": "N",
"address_1": "2701 David H McLeod Blvd",
"city": "Florence",
"state": "SC",
"country_code": "US",
"postal_code": "295014043",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "cwenzor.s07188.us@wal-mart.com",
"affiliation": "N",
"address_1": "251 Andover Pl",
"city": "Darlington",
"state": "SC",
"country_code": "US",
"postal_code": "295321500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHRISTOPHER",
"last_name": "ENZOR",
"middle_name": "WAYNE",
"credential": "LDO,ABOC,NCLEC,B.S.",
"code": "2",
"type": "Professional Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.