Brown, Randy

Brown, Randy is an individual health care provider with primary practice located at 11226 Gold Express Dr Ste 202, Gold River CA 95670. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Brown, Randy can be contacted via phone (916) 635-1037.

Contact Information

Primary practice address
11226 Gold Express Dr Ste 202 Gold River CA 95670
Phone: (916) 635-1037
Fax: (916) 635-7370
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X CA6850T California
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X CA6850T California

Profile Details

NPI number 1194786053
LBN Legal business name Brown, Randy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 18th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194786053 NPPES
California Other DV719Z PTAN
California Other 680096203 PTAN
California Other 680096203 PTAN
California Other 680096203 PTAN
California Other 680096203 PTAN
California Other 680096203 PTAN
California MEDICAID SD0068500 PTAN

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