Individual
CHARLES J WOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., PH.D.
Contact information
Practice address
104 SIMPSON ST, GREENVILLE, SC 29605-4413
(864) 522-3900
(864) 522-3909
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1072
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5309738
AETNA
SC
05
—
D10726
—
SC
Enumeration date
05/03/2006
Last updated
08/08/2022
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