Individual
RANDY L FUJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2631FOOTHILL BLVD, SUITE A, ROCK SPRINGS, WY 82901-4770
(307) 362-4202
(307) 362-4332
Mailing address
2631FOOTHILL BLVD, SUITE A, ROCK SPRINGS, WY 82901-4591
(307) 362-4202
(307) 362-4332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WY214T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108096200
—
WY
01
—
410019956
RAILROAD MEDICARE
WY
01
—
410026623
RAILROAD MEDICARE
UT
Enumeration date
06/10/2006
Last updated
11/04/2014
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