Dutton, Randy W

Dutton, Randy W is an individual health care provider with primary practice located at 1381 S Patrick Dr , Patrick Afb FL 32925-3606. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dutton, Randy W can be contacted via phone (321) 494-8164.

Contact Information

Primary practice address
1381 S Patrick Dr Patrick Afb FL 32925-3606
Phone: (321) 494-8164
Fax: (321) 494-1378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1827 Minnesota

Profile Details

NPI number 1902891468
LBN Legal business name Dutton, Randy W
Credentials OPTOMETRIST
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Nov 21st, 2011 - about 13 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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