Randall, John Wilfred

Randall, John Wilfred is an individual health care provider with primary practice located at 2043 College Way Pacific University College Of Optometry, Forest Grove OR 97116-1756. 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 Wilfred can be contacted via phone (503) 352-2020.

Contact Information

Primary practice address
2043 College Way Pacific University College Of Optometry Forest Grove OR 97116-1756
Phone: (503) 352-2020
Fax: (503) 352-2929
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1610AT Oregon
Eye and Vision Services Providers / Optometrist 152W00000X 1012 Oklahoma

Profile Details

NPI number 1982695524
LBN Legal business name Randall, John Wilfred
Credentials OD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
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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