Blevins, Randall H
Blevins, Randall H is an sole proprietor health care provider with primary practice located at 907 Schneider St Se , North Canton OH 44720-3774. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Blevins, Randall H can be contacted via phone (330) 499-1494.Contact Information
Primary practice address
907 Schneider St Se
North Canton OH 44720-3774
Phone: (330) 499-1494
Fax: (330) 499-3744
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3721 | Ohio |
Profile Details
| NPI number | 1487760039 |
|---|---|
| LBN Legal business name | Blevins, Randall H |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2006 |
| Last updated | Sep 29th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487760039 | NPPES |
| Ohio | MEDICAID | 0561324 |
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