| Dr Lonnie Randolph Jr, OD | |
|
2230-a Taylor St, Columbia, SC 29204-1007 | |
| (803) 254-7099 | |
| (803) 765-0282 |
| Full Name | Dr Lonnie Randolph Jr |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2230-a Taylor St, Columbia, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205919818 | NPI | - | NPPES |
| D05992 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 599 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lonnie Randolph Jr, OD 2230-a Taylor St, Columbia, SC 29204-1007 Ph: (803) 254-7099 | Dr Lonnie Randolph Jr, OD 2230-a Taylor St, Columbia, SC 29204-1007 Ph: (803) 254-7099 |
Bettina L Gary, OD Optometrist Medicare: Medicare Enrolled Practice Location: 7539 Garners Ferry Rd, Columbia, SC 29209 Phone: 803-779-9313 Fax: 803-779-9551 | |
Vista Vision Optometrist Medicare: Medicare Enrolled Practice Location: 1513 Gregg St, Columbia, SC 29201 Phone: 803-257-4951 | |
Eyeco Optometrist Medicare: Medicare Enrolled Practice Location: 332 Long Pointe Ln, Columbia, SC 29229 Phone: 803-419-8907 | |
Dr. Jordan Lee Ellis Alexander, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 470 Town Center Pl, B125 Lenscrafters, Columbia, SC 29229 Phone: 803-865-3901 | |
Dr. Alexis Noelle Broussard, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 280 Harbison Blvd Ste T, Columbia, SC 29212 Phone: 803-732-9200 | |
Dr. Mohamed Shabir Bharadia, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1326 Bush River Rd, At Walmart Vision Center, Columbia, SC 29210 Phone: 803-750-4949 Fax: 803-750-7172 | |
Dr. Krystal Leigh Berthelette, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5420 Forest Dr, Columbia, SC 29206 Phone: 803-790-4600 |