Woody, Charles J

Woody, Charles J is an individual health care provider with primary practice located at 104 Simpson St , Greenville SC 29605-4413. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Woody, Charles J can be contacted via phone (864) 522-3900.

Contact Information

Primary practice address
104 Simpson St Greenville SC 29605-4413
Phone: (864) 522-3900
Fax: (864) 522-3909
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1072 South Carolina

Profile Details

NPI number 1942268560
LBN Legal business name Woody, Charles J
Credentials O.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 8th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942268560 NPPES
South Carolina MEDICAID D10726
South Carolina Other 5309738

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