Organization
RANDALL B COX OPTOMETRIC CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL B COX O.D. (DOCTOR OF OPTOMETRIST)
(505) 287-9438
Entity
Organization
Contact information
Practice address
617 N 1ST ST, GRANTS, NM 87020-2703
(505) 287-9438
(505) 287-9439
Mailing address
617 N 1ST ST, GRANTS, NM 87020-2703
(505) 287-9438
(505) 287-9439
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP2212
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP2212
OPTOMETRY MEDICAL LICENSE
NM
Enumeration date
05/07/2008
Last updated
06/21/2018
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