Active NPI
Shenae Monique Walker
- Optician
- North Charleston, SC
National Provider Identifier
1609587583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1335
- Practice address
- 7400 Rivers Ave
North Charleston, SC 29406-4644 - Phone
- (843) 572-0275
- Fax
- (843) 572-0395
- NPI assigned
- Dec 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 1335 | SC | Primary |
Addresses
Primary practice location
7400 Rivers Ave
North Charleston, SC 29406-4644
Mailing address
7400 Rivers Ave
North Charleston, SC 29406-4644
Phone (843) 572-0275
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | smw00bu.s01359.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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1609587583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 RIVERS AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064644",
"telephone_number": "843-572-0275",
"fax_number": "843-572-0395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 RIVERS AVE",
"city": "NORTH CHARLESTON",
"state": "SC",
"postal_code": "294064644",
"telephone_number": "843-572-0275",
"fax_number": "843-572-0395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALKER",
"first_name": "SHENAE",
"middle_name": "MONIQUE",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "SC",
"license": "1335",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "smw00bu.s01359.us@wal-mart.com",
"affiliation": "N",
"address_1": "7400 Rivers Ave",
"city": "North Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "294064644",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.