Desautels Family Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DESAUTELS FAMILY EYE CARE LLC

Practice address

507 Piney Grove Rd
Columbia, SC 29210-3405

Phone

(803) 875-7145

Fax

(803) 875-7146

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Michael DesautelsNPI 1376856831

Title

OD

Phone

(803) 875-7145

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Desautels, OD

  • Optometrist
  • Columbia, SC
  • NPI 1376856831
  NPD Authorized official

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1881379055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 PINEY GROVE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103405",
            "telephone_number": "803-875-7145",
            "fax_number": "803-875-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 PINEY GROVE RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292103405",
            "telephone_number": "803-875-7145",
            "fax_number": "803-875-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESAUTELS FAMILY EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A",
        "authorized_official_last_name": "DESAUTELS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OD",
        "authorized_official_telephone_number": "803-875-7145"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karly Anne Derwitz, DO
• Devang Harshad Desai, D.M.D.
• Jordan Desai, LISW-CP
• Merrie Jo Desai, CRNA
• Nehal T Desai, MD
• Michael Desautels, OD
• Edgar G Deschamps III, MD
• Josie Deshong
• Design Dentistry LLC
• Pamela Jean Desin

• 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 16, 2023; 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.