Individual provider Active NPI

Christopher Wayne Enzor, LDO

  • Contact Lens Technician/Technologist
  • Darlington, SC
National Provider Identifier
1366014672
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Contact Lens Technician/TechnologistTaxonomy code 156FC0800X
License
599 Issued in SC
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
1219SCMDRegistered 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"
        }
    ]
}

Other providers in Darlington, SC

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.

Verify at the official NPI Registry.