Walter S Berry

Primary specialty

OptometristTaxonomy code 152W00000X

License

1836 Issued in SC

Practice address

1818 Hampton St
Columbia, SC 29201-3534

Phone

(803) 254-6306

NPI assigned

Aug 11, 2014

Last updated

Nov 18, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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.

• Carolina Eye Care of Sumter

  • Ophthalmology Physician
  • Sumter, SC
  • NPI 1447449335
  NPD (past)

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1609285006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 WILLIAMS ST APT 112",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 HAMPTON ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013534",
            "telephone_number": "803-254-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "WALTER",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Berry, M.S., B.C.B.
• Mychelle Lynn Berry, ATC
• Nicole Ashley Berry, FNP
• Richard Scott Berry, PHARMD
• Tyeler Chase Berry, DC
• Sharon Diane Berrycarrion, CRNA
• Krystal Leigh Berthelette, OD
• Katie Elizabeth Bertsch
• Leslie Diane Bessellieu, PH.D.
• Best Sleep Solutions

• Optometrist in Columbia, SC
• Providers in Columbia, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.