LESTERS DIABETIC SHOE SERV NPI 1790900249

NPI Information

NPI: 1790900249
Provider Name: LESTERS DIABETIC SHOE SERV
Classification: Assistant, Podiatric - 211D00000X
Entity Type: Organization
Address: 41 BLAIR CIRCLE
ESTILL, SC
ZIP 29918
Phone: (803) 625-4100

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NPI Details

LESTERS DIABETIC SHOE SERV is an assistant podiatric in Estill, SC. The provider is an individual who assists a podiatrist in tasks, such as exposing and developing x-rays; taking and recording patient histories; assisting in biomechanical evaluations and negative castings; preparing and sterilizing instruments and equipment; providing the patient with postoperative instructions; applying surgical dressings; preparing the patient for treatment, padding, and strapping; and performing routine office procedures. LESTERS DIABETIC SHOE SERV NPI is 1790900249. The provider is registered as an organization entity type.

The provider's business location address is:

41 BLAIR CIRCLE
ESTILL, SC
ZIP 29918
Phone: (803) 625-4100
Fax: (803) 625-4100

The provider's authorized official is Ethel B Dandy .
The authorized official title is Pedorthic Owner and has the following contact phone number (803) 625-4100.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 7/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies	SOUTH CAROLINA	No
2	335E00000X	Prosthetic/Orthotic Supplier	SOUTH CAROLINA	No
3	211D00000X	Assistant, Podiatric	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	5177800001	MEDICARE ID-TYPE UNSPECIFIED	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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