Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. THELISA Y SULTON
Active Sole ProprietorMRS. THELISA Y SULTON is a Optician healthcare provider located in COLUMBIA, South Carolina. NPI 1851888978 is currently active in the NPPES registry. Verify at CMS.
Optician · COLUMBIA, SC
Registration Details
- NPI Number
- 1851888978
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 14, 2018 (8.3374304374693 yrs)
- Last Updated
- Feb 2, 2020
- Licenses
-
2018-46169-45207 (SC)2018-46169-45207 (SC)2018-46169-45207 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
201 COLUMBIA MALL BLVD STE 189COLUMBIA, SC, 292237550Browse SC providers · Browse ZIP 29223
- Phone
- 8036025570
- Fax
- 8889580279
- Primary Specialty
-
Optician
156F00000X
- Additional Specialty
- Customized Equipment (DME)
- Additional Specialty
- Optician
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.