# DR. RANDALL L. EDWARDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841445368
- **Authorized official:** DR. RANDALL L. EDWARDS OD (OPTOMETRIST/SELF)
- **Authorized official phone:** (605) 341-6000

## Contact information

- **Practice address:** 1605 EGLIN ST, STE. 2, RAPID CITY, SD 57701-6107
- **Practice address phone:** (605) 341-6000
- **Practice address fax:** (605) 341-6001
- **Mailing address:** 1605 EGLIN ST STE 2, RAPID CITY, SD 57701-6107
- **Mailing address phone:** (605) 341-6000
- **Mailing address fax:** (605) 341-6001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 466 | SD | Yes |

## Other

- **Enumeration date:** 11/25/2008
- **Last updated:** 12/02/2009