Individual provider Active NPI

Megan Walton, O.D.

  • Optometrist
  • Charleston, SC
National Provider Identifier
1871854794
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.1877 OPT Issued in SC
Practice address
2060 Charlie Hall Blvd Ste 201
Charleston, SC 29414-6066
Phone
(843) 722-2010
Fax
(843) 723-3914
NPI assigned
Jun 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18003726A IN
Optometrist 152W00000X OPT.1877 OPT SC Primary

Addresses

Primary practice location

2060 Charlie Hall Blvd Ste 201
Charleston, SC 29414-6066

Mailing address

2060 Charlie Hall Blvd Ste 201
Charleston, SC 29414-6066
Phone (843) 722-2010

Other identifiers 1

IdentifierTypeStateIssuer
DA9628MedicaidSC

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
18003726AINMDOptometrist
OPT.1877 OPTSCMDOptometrist
1877SCMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1871854794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 CHARLIE HALL BLVD STE 201",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146066",
            "telephone_number": "843-722-2010",
            "fax_number": "843-723-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CHARLIE HALL BLVD STE 201",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146066",
            "telephone_number": "843-722-2010",
            "fax_number": "843-723-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "MEGAN",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-07",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18003726A",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "OPT.1877 OPT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA9628",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.