Organization
HEALTHY EYES VISION GROUP LLC
Active
Other names
Healthy Eyes on Pickens
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CANDELA OD (OWNER)
(803) 306-6121
Entity
Organization
Contact information
Practice address
1518 PICKENS ST, COLUMBIA, SC 29201-3449
(803) 665-3269
Mailing address
2745 BURNEY DR, COLUMBIA, SC 29205-3120
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9585
—
SC
Enumeration date
02/10/2020
Last updated
06/10/2020
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