Individual
DR. RANDALL HOLLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4 S NATIONAL AVE, FORT SCOTT, KS 66701-1309
(620) 223-0850
Mailing address
4 S NATIONAL AVE, FORT SCOTT, KS 66701-1309
(620) 223-0850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1184-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100217910A
—
KS
01
—
410008912
RAILROAD MEDICARE
KS
Enumeration date
09/02/2006
Last updated
01/05/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us