Individual
RANDY L FUJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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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