Organization
JAAP INC
Active
Other names
Candela Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER V CANDELA OD (PRESIDENT)
(808) 790-1849
Entity
Organization
Contact information
Practice address
4110 MOSEBY ST, MAIN EXCHANGE PX, COLUMBIA, SC 29207-6118
(803) 790-1849
(803) 790-1846
Mailing address
4110 MOSEBY ST, MAIN EXCHANGE PX, FORT JACKSON, SC 29207-0614
(803) 790-1849
(803) 790-1846
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
795
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DO7957
—
SC
Enumeration date
09/09/2010
Last updated
09/16/2010
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