Charles J Woody, O.D., PH.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1072 Issued in SC

Practice address

104 Simpson St
Greenville, SC 29605-4413

Phone

(864) 522-3900

Fax

(864) 522-3909

NPI assigned

May 3, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Optometry

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prisma Health University Medical GroupGroup PAC ID 8325950983, 2,467 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cwoody55937@direct.ghs.myhfn.org

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

• Prisma Health University Medical Group

  • Family Medicine Physician
  • Greenville, SC
  • NPI 1295763217
  Medicare reassignment Care Compare group NPD
• Eye Care Associates of SC LLC

  • Optometrist
  • Chapin, SC
  • NPI 1679046569
  Medicare reassignment
• Prisma Health University Medical Group

  • Gynecology Physician
  • Greer, SC
  • NPI 1003619313
  NPD
• Prisma Health University Medical Group

  • Family Medicine Physician
  • Easley, SC
  • NPI 1295218642
  NPD
• Clemson Eye, PA

  • Optometrist
  • Clemson, SC
  • NPI 1790939254
  NPD (past)
• F Mason Smith

  • Optometrist
  • Mt Pleasant, SC
  • NPI 1477795722
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1942268560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SIMPSON ST",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054413",
            "telephone_number": "864-522-3900",
            "fax_number": "864-522-3909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 The Pkwy",
            "address_purpose": "LOCATION",
            "city": "Greer",
            "state": "SC",
            "postal_code": "296504569",
            "country_code": "US",
            "telephone_number": "864-627-0634 x315",
            "fax_number": "864-627-1960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODY",
        "first_name": "CHARLES",
        "middle_name": "J",
        "credential": "O.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D10726",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5309738",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly McGowan Woods, AG-ACNP
• Susan Coolidge Woods
• Woodward Medical Center, PA
• Kathryn Coleman Woodward
• Linda Rae Woodward, CRNA
• Mariah Woody, OT
• Sarah K Woody, RN
• Ashley Rosser Wooten, FNP-BC
• Bailey Elizabeth Wooten, MD
• Breanna Wooten, LDN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.