Randall, Theresa

Randall, Theresa is an sole proprietor health care provider with primary practice located at 1201 Knox Ave , North Augusta SC 29841-4056. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Randall, Theresa can be contacted via phone (803) 202-0182.

Contact Information

Primary practice address
1201 Knox Ave North Augusta SC 29841-4056
Fax: (803) 202-0275
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 678 South Carolina

Profile Details

NPI number 1356072011
LBN Legal business name Randall, Theresa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2022
Last updated Jun 22nd, 2022 - about 2 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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