Charles Lewis Walvoord, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

7636 Issued in SC

Practice address

9 Richland Medical Park Dr
Suite 340
Columbia, SC 29203-6859

Phone

(803) 434-2020

Fax

(803) 434-1581

NPI assigned

Oct 12, 2005

Last updated

Sep 29, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• University Specialty Clinics - Ophthalmology

  • Ophthalmology Physician
  • Columbia, SC
  • NPI 1275561771
  NPD (past)
• University Specialty Clinics - Ophthalmology

  • Eyewear Supplier
  • Columbia, SC
  • NPI 1669678140
  NPD (past)
• University Specialty Clinics - Ophthalmology

  • Eyewear Supplier
  • Columbia, SC
  • NPI 1942406434
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411948800000",
    "number": "1578551545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 402145",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303842145",
            "telephone_number": "803-296-7305",
            "fax_number": "803-296-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RICHLAND MEDICAL PARK DR",
            "address_2": "SUITE 340",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036859",
            "telephone_number": "803-434-2020",
            "fax_number": "803-434-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALVOORD",
        "first_name": "CHARLES",
        "middle_name": "LEWIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2014-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "7636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiaya A. D. Walters, LPC
• John C Walthall, C.R.N.A.
• Cheryl Walton, PHARMD
• Krystal Lawson Walton, PHARM.D.
• Brianna Waltz
• Lois Pall Wandersman, PH.D.
• Siyi Wang
• Wing Wang, APRN
• Sabrina L. Wannamaker, MA, LPCMH, NCC
• Jessica Wanthal, MD

• Ophthalmology Physician in Columbia, SC
• Providers in Columbia, SC by specialty
• Ophthalmology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.