Individual
DR. RANDALL K. THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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