Randall, John D
Randall, John D is an individual health care provider with primary practice located at 314 Columbia Ave , Lexington SC 29072-2657. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Randall, John D can be contacted via phone (803) 359-2294.Contact Information
Primary practice address
314 Columbia Ave
Lexington SC 29072-2657
Phone: (803) 359-2294
Fax: (803) 359-1440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1310 | South Carolina |
Profile Details
| NPI number | 1033199914 |
|---|---|
| LBN Legal business name | Randall, John D |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033199914 | NPPES |
| South Carolina | MEDICAID | D13108 |
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