Conrad, Randall Earl

Conrad, Randall Earl is an individual health care provider with primary practice located at 12845 Poway Rd Ste. 209, Poway CA 92064-4529. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Conrad, Randall Earl can be contacted via phone (858) 748-6210.

Contact Information

Primary practice address
12845 Poway Rd Ste. 209 Poway CA 92064-4529
Phone: (858) 748-6210
Fax: (858) 748-6224
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 6423T California

Profile Details

NPI number 1962617464
LBN Legal business name Conrad, Randall Earl
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 8th, 2007 - about 17 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.

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