| |
123 S Main St, Randolph, NE 68771-5505 | |
(402) 337-0375 | |
(402) 337-0377 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 123 S Main St, Randolph, Nebraska |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871607085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
123 S Main St, Randolph, NE 68771-5505 Ph: (402) 337-0375 | 123 S Main St, Randolph, NE 68771-5505 Ph: (402) 337-0375 |