Randolph, Dennis Lynn
Randolph, Dennis Lynn is an individual health care provider with primary practice located at 1714 Washington Blvd , Belpre OH 45714-2096. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Randolph, Dennis Lynn can be contacted via phone (740) 423-9521.Contact Information
Primary practice address
1714 Washington Blvd
Belpre OH 45714-2096
Phone: (740) 423-9521
Fax: (740) 423-6882
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3305 | Ohio |
Profile Details
| NPI number | 1568431252 |
|---|---|
| LBN Legal business name | Randolph, Dennis Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1568431252 | NPPES |
| Ohio | MEDICAID | 0465198 |
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