Palmetto State Eyecare, LLC

NPI #1043513542 in Columbia, South Carolina

Provider Information

NPI Number: 1043513542
Entity Type: Organization
Organization Name: Palmetto State Eyecare, LLC
Primary Specialty: Optometrist
Enumeration Date: Dec 6, 2010
Last Updated: Dec 6, 2010

Practice Location

Address: 5426 FOREST DR
City: Columbia
State: South Carolina
ZIP Code: 29206-5401
Phone: (803) 767-9964

Authorized Official

Name: DR. FERINE N. JOHANNES, O.D.
Title: OWNER/OPTOMETRIST
Phone: (920) 915-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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