Randecker, Brian Matthew
Randecker, Brian Matthew is an sole proprietor health care provider with primary practice located at 2901 E College Ave , State College PA 16801-7527. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Randecker, Brian Matthew can be contacted via phone (814) 347-9604.Contact Information
Primary practice address
2901 E College Ave
State College PA 16801-7527
Phone: (814) 347-9604
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OET08739 | Pennsylvania |
Profile Details
| NPI number | 1093899676 |
|---|---|
| LBN Legal business name | Randecker, Brian Matthew |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Oct 9th, 2008 - about 16 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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