Goldman, Randy Kenneth

Goldman, Randy Kenneth is an individual health care provider with primary practice located at 1211 Highland Ave , Needham MA 02492. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Goldman, Randy Kenneth can be contacted via phone (781) 449-4090.

Contact Information

Primary practice address
1211 Highland Ave Needham MA 02492
Phone: (781) 449-4090
Fax: (781) 449-0777
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2742 Massachusetts

Profile Details

NPI number 1366518011
LBN Legal business name Goldman, Randy Kenneth
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1366518011 NPPES
Other 762250 TUFTS
Other T59299 TUFTS
Other W15573 TUFTS
Other 42930 TUFTS
MEDICAID 0343471 TUFTS
Other MA2742 TUFTS

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