Randall, Luke A
Randall, Luke A is an sole proprietor health care provider with primary practice located at 1540 W Cayuse Creek Dr , Meridian ID 83646-4795. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Randall, Luke A can be contacted via phone (208) 258-6200.Contact Information
Primary practice address
1540 W Cayuse Creek Dr
Meridian ID 83646-4795
Phone: (208) 258-6200
Fax: (208) 258-6204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ODP-100164 | Idaho |
Profile Details
| NPI number | 1376705293 |
|---|---|
| LBN Legal business name | Randall, Luke A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 1st, 2008 |
| Last updated | Mar 15th, 2014 - about 11 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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