Individual
DR. RANDALL K. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
201 LE PHILLIP CT, NE, CONCORD, NC 28025-2900
(704) 782-1127
(704) 782-1207
Mailing address
201 LE PHILLIP CT, NE, CONCORD, NC 28025-2900
(704) 782-1127
(704) 782-1207
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1063
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1934
PARTNERS
NC
01
—
6196498003
CIGNA
NC
05
—
8909892
—
NC
01
—
9892
BLUE CROSS
NC
Enumeration date
08/29/2005
Last updated
07/01/2010
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