Thomas, Randall K.
Thomas, Randall K. is an individual health care provider with primary practice located at 201 Le Phillip Ct, Ne , Concord NC 28025-2900. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Thomas, Randall K. can be contacted via phone (704) 782-1127.Contact Information
Primary practice address
201 Le Phillip Ct, Ne
Concord NC 28025-2900
Phone: (704) 782-1127
Fax: (704) 782-1207
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1063 | North Carolina |
Profile Details
| NPI number | 1083607717 |
|---|---|
| LBN Legal business name | Thomas, Randall K. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2005 |
| Last updated | Jul 1st, 2010 - about 14 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 | 1083607717 | NPPES |
| North Carolina | Other | 6196498003 | CIGNA |
| North Carolina | Other | 1934 | CIGNA |
| North Carolina | MEDICAID | 8909892 | CIGNA |
| North Carolina | Other | 9892 | CIGNA |
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