Organization
RANDY A. OMLOR, OD PA
Active
Other names
Visual Eyes Optometric
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY A OMLOR O.D, M.S. (PRESIDENT)
(828) 657-0016
Entity
Organization
Contact information
Practice address
1415 N LAFAYETTE ST, SHELBY, NC 28150-3406
(704) 487-4099
Mailing address
1415 N LAFAYETTE ST, SHELBY, NC 28150-3406
(704) 487-4099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2039
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215038898
INDIVIDUAL NPI
NC
Enumeration date
11/13/2007
Last updated
08/24/2009
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