Dr. Krystal Leigh Berthelette
Optometrist
5420 Forest Dr
Columbia
, South Carolina 29206-5401
Dr. Krystal Leigh Berthelette
Optometrist
5420 Forest Dr
Columbia
, South Carolina 29206-5401
(803) 798-8642
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About
Features
Specialties
- Optometrist
Languages spoken
- English
Location
First Address
- Dr. Krystal Leigh Berthelette
- 119 Latonea Dr
- Columbia, SC
- Zip : 29210-7572
- Fax : (803) 798-8642
- Phone : (803) 798-8642
Second Address
- Dr. Krystal Leigh Berthelette
- 5420 Forest Dr
- Columbia, SC
- Zip : 29206-5401
- Phone : (803) 790-4600
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FAQs
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Is Dr. Krystal Leigh Berthelette a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1415 | SC |
National Provider Identifier
| NPI | 1003921180 |
|---|---|
| Provider Name | Dr. Krystal Leigh Berthelette |
| First Address | Columbia, SC 29210-7572 |
| Second Address | Columbia, SC 29206-5401 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/08/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.