Randolph, Richard Nichols
Randolph, Richard Nichols is an sole proprietor health care provider with primary practice located at 2240 Nash St N , Wilson NC 27896-1729. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Randolph, Richard Nichols can be contacted via phone (252) 237-4179.Contact Information
Primary practice address
2240 Nash St N
Wilson NC 27896-1729
Phone: (252) 237-4179
Fax: (252) 237-4170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1308 | North Carolina |
Profile Details
| NPI number | 1982681706 |
|---|---|
| LBN Legal business name | Randolph, Richard Nichols |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Feb 27th, 2015 - about 9 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 | 1982681706 | NPPES |
| North Carolina | Other | 09753 | BLUE CROSS BLUE SHIELD |
| North Carolina | MEDICAID | 7909753 | BLUE CROSS BLUE SHIELD |
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