# RANDALL T PARRISH JR OD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104898162
- **Authorized official:** DR. RANDALL T PARRISH JR. OD (OWNER)
- **Authorized official phone:** (863) 675-0761

## Contact information

- **Practice address:** 100 N MAIN ST, LABELLE, FL 33935-7000
- **Practice address phone:** (863) 675-0761
- **Practice address fax:** (863) 675-3518
- **Mailing address:** 100 N MAIN ST, LABELLE, FL 33935-7000
- **Mailing address phone:** (863) 675-0761
- **Mailing address fax:** (863) 675-3518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | Yes |
| 152W00000X | Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2006
- **Last updated:** 07/13/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 078861900 | — | FL |
| 01 | — | 99715 | BLUE CROSS BLUE SHIELD | FL |
| 01 | — | CF9406 | RAILROAD | — |
| 01 | — | OPC 1494 | CIGNA | FL |
| 01 | — | OPC1494 | UNITED HEALTHCARE | FL |
