Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dehaven Preston Taylor, LDO

Individual provider Optician · NPI 1194457358

Dehaven Preston Taylor, LDO is an Optician in Moncks Corner, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2022

Practice location Address checks out

511 N Highway 52
Moncks Corner, SC 29461-3132
Phone: (843) 899-5872
Fax: (843) 899-5875
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 1207 (SC)

Record details

NPI number1194457358
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorYes
NPI enumeratedJune 27, 2022
Last updated in NPPESJune 27, 2022
Certification dateJune 27, 2022

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