Individual
DR. RANDALL G. ARMSTRONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1173 W BROADWAY ST, MONTICELLO, IN 47960-1818
(574) 583-5531
(574) 583-4285
Mailing address
PO BOX 383, MONTICELLO, IN 47960-0383
(574) 583-5531
(574) 583-4285
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001814
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090677
ANTHEM ID#
IN
05
—
100088970B
—
IN
01
—
410037071
RR MEDICARE ID#
IN
Enumeration date
03/15/2006
Last updated
07/08/2008
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