Peter V Candela, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

795 Issued in SC

Practice address

1518 Pickens St Ste a
Columbia, SC 29201-3449

Phone

(803) 306-6121

Fax

(803) 306-6122

NPI assigned

Apr 17, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy Eyes Vision Group LLC

  • Optometrist
  • Columbia, SC
  • NPI 1972135754
  NPD Authorized official
• Sawyer Opticians

  • Eyewear Supplier
  • Columbia, SC
  • NPI 1275731036
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1689638405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 MOSEBY ST",
            "address_2": "MAIN EXCHANGE PX",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292076118",
            "telephone_number": "803-790-1849",
            "fax_number": "803-790-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 PICKENS ST STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013449",
            "telephone_number": "803-306-6121",
            "fax_number": "803-306-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANDELA",
        "first_name": "PETER",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D07957",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan I Camps, MD
• Can Community Health, Inc.
• Nancy Ragan Canaday, R.N.,C
• Jaelynn Cancer
• Kari Candela, DMD
• Candid South Carolina, P.C.
• Cassidy Marie Canfield
• Nancy Bowden Cannada
• Brian Wayne Cannon, O.D.
• Charles Bruce Cannon, M.ED., LPC

• Optometrist in Columbia, SC
• Providers in Columbia, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.