Charles Clayton Wiggins, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1094 Issued in NC

Practice address

7100 Six Forks Rd
Suite 301
Raleigh, NC 27615-6156

Phone

(919) 847-0187

Fax

(919) 863-2862

NPI assigned

Sep 6, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1861595811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 WALNUT ST",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189210",
            "telephone_number": "919-851-0093",
            "fax_number": "919-859-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 SIX FORKS RD",
            "address_2": "SUITE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156156",
            "telephone_number": "919-847-0187",
            "fax_number": "919-863-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "CHARLES",
        "middle_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01334941",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7909975",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert William Wiese, PT
• Matthew Charles Wiesmore, PHARMD
• David Charles Wiesner
• Ahkiyla Shynice Wiggins
• Amber Wiggins, OD
• Donald G Wiggins, LPCA
• Kevin Wiggins
• Myisha Wiggins
• Wiggs D.M.D. & Wiggs D.M.D., PLLC
• Carolann Henline Wiggs, PT, DPT

• Optometrist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.