DR. CHRISTY BANKSTON WALLACE (NPI# 1356498547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356498547 |
| Entity Type | Individual |
| Full Name | DR. CHRISTY BANKSTON WALLACE |
| Credential | O.D. |
| Practice Address |
2014 S Irby St Florence SC 29505-3420 |
| Practice Telephone | 8436799005 |
| Practice Fax Number | 8432920403 |
| Mailing Telephone | 8436799005 |
| Mailing Fax Number | 8432920403 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1087 | SC | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | D10879 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528148202 | Christy J Wallace | Dietitian, Registered | 3245 Hospital Dr, Juneau, AK 99801-7809 | 2006-10-16 |
| Street Address |
2014 S IRBY ST |
| City | FLORENCE |
| State | SC |
| Zip Code | 29505-3420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134169147 | Florence Primary Eye Care, PC | Optometrist | 2014 S Irby St, Florence, SC 29505-3420 | 2006-06-07 |
| 1922642628 | Courtney Ann Garris | Pharmacist | 2014 S Irby St, Florence, SC 29505-3420 | 2019-11-05 |
| 1942780929 | Sara Elizabeth Herring | Pharmacist | 2014 S Irby St, Florence, SC 29505-3420 | 2018-08-18 |
| 1629489976 | Quincy Washington | Pharmacist | 2014 S Irby St, Florence, SC 29505-3420 | 2014-05-08 |
| 1225119605 | Wal-mart Stores East, Lp | Technician/Technologist | 2014 S Irby St, Florence, SC 29505-3420 | 2006-10-18 |
| 1720005986 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2014 S Irby St, Florence, SC 29505-3420 | 2006-07-16 |
| 1609819952 | Robert Brian Wallace | Optometrist | 2014 S Irby St, Florence, SC 29505-3420 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245745066 | Jessica Hayes | Counselor | 1414 West Evans Street, Florence, SC 29505 | 2017-12-04 |
| 1467989665 | Lelia Denise Mckay | Counselor | 181 E Evans Street, Florence, SC 29505 | 2017-05-18 |
| 1295187714 | Sarah Shaeffer | Community Health Worker | 3200 S. Irby St, South Florence Hgh School, Florence, SC 29505 | 2016-07-08 |
| 1548616097 | Lena Vaughn Bullock | Behavioral Analyst | 444 2nd Loop Rd, Florence, SC 29505 | 2016-05-13 |
| 1255700332 | Carmine J Gargano | Physical Therapist | 2360 Freedom Blvd Apt C8, Florence, SC 29505 | 2015-09-18 |
| 1417373440 | Megan Ann Roy | Occupational Therapist | 440 Second Loop Rd, Mcleod Pediatric Rehab, Florence, SC 29505 | 2014-03-14 |
| 1669807863 | Andrea Carrieri Thomas | Dentist | 1519 Heritage Lane, Florence, SC 29505 | 2013-09-06 |
| 1508203522 | Daniel Carl Skipper | Pathology | 805 Pamplico Hwy Ste B210, Florence, SC 29505 | 2013-05-31 |
| 1326482928 | Total Renal Care Inc | Clinic/Center | 1520 Flag Dr, Florence, SC 29505 | 2013-04-25 |
| 1346599743 | Haley Morgan Carter | Pharmacist | 513 Cricklewood Dr., Florence, SC 29505 | 2012-08-31 |
| Find all providers in zip 29505 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528607215 | National Vision Inc | Optometrist | 382 Cox Creek Pkwy, Florence, AL 35630-1540 | 2019-12-30 |
| 1699333526 | Myeyedr Optometry of Kentucky, Pllc | Optometrist | 8537 Us Highway 42 Ste 4f, Florence, KY 41042-4796 | 2019-06-05 |
| 1497221337 | Insight Eyecare | Optometrist | 8850 Us 42 Unit 2, Florence, KY 41042-9699 | 2018-10-18 |
| 1184159907 | Morgan Betz | Optometrist | 2374 Freedom Blvd Apt C5, Florence, SC 29505-6194 | 2017-04-30 |
| 1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
| 1063810299 | Dr Claffie and Associates | Optometrist | 2130 Mall Road, Florence, KY 41042-1494 | 2014-12-22 |
| 1962818948 | Florence Eye Center, Inc. | Optometrist | 109 N Court St, Florence, AL 35630-4764 | 2014-07-10 |
| 1326480278 | Jennifer Michelle Michael | Optometrist | 8537 Us Highway 42 Ste 4, Florence, KY 41042-4796 | 2013-07-19 |
| 1760737175 | Michelle L. Brooks | Optometrist | 2672 David H Mcleod Blvd, Florence, SC 29501-4042 | 2012-07-23 |
| 1285902635 | Gary Desmond Beamon | Optometrist | 1945 W Palmetto St, Florence, SC 29501-3919 | 2011-12-13 |
| Find all providers in FLORENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.