NPI 1043513542

Palmetto State Eyecare, LLC

Organisation Optometrist Columbia, SC

Practice location

Address: 5426 Forest Dr, Columbia, SC 29206-5401
Phone: (803) 767-9964
Fax: (803) 790-2163
Mailing address: 244 Lothrop Hill Rd, Lexington, SC 29072-7747

Authorised official

Name: Ferine N. Johannes
Title: Owner/Optometrist
Phone: (920) 915-3422

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1568 (SC)

Other Optometrist providers in South Carolina →

Registry record

NPI: 1043513542
Entity type: Organization
NPI issued: 6 Dec 2010
Record last updated: 6 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.