NPI 1003921180
Krystal Leigh Berthelette, OD
Practice location
- Address
- 5420 Forest Dr, Columbia, SC 29206-5401
- Phone
- (803) 790-4600
- Mailing address
- 119 Latonea Dr, Columbia, SC 29210-7572
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1003921180
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Aug 2006
- Record last updated
- 8 Jul 2007
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.