Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEHAVEN PRESTON TAYLOR, LDO
Active Sole ProprietorDEHAVEN PRESTON TAYLOR, LDO is a Optician, Dispensing healthcare provider located in MONCKS CORNER, South Carolina. NPI 1194457358 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · MONCKS CORNER, SC
Registration Details
- NPI Number
- 1194457358
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2022 (4.0902063315677 yrs)
- Last Updated
- Jun 27, 2022
- License
-
1207 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
511 N HIGHWAY 52MONCKS CORNER, SC, 294613132Browse SC providers · Browse ZIP 29461
- Phone
- 8438995872
- Fax
- 8438995875
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.