Organization
DESAUTELS FAMILY EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DESAUTELS (OD)
(803) 875-7145
Entity
Organization
Contact information
Practice address
507 PINEY GROVE RD, COLUMBIA, SC 29210-3405
(803) 875-7145
(803) 875-7146
Mailing address
507 PINEY GROVE RD, COLUMBIA, SC 29210-3405
(803) 875-7145
(803) 875-7146
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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