Individual
DR. RANDY DAWAYNE EASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
516 AIRPORT RD, FOREST, MS 39074-4032
(601) 469-2020
(601) 469-5686
Mailing address
516 AIRPORT RD, FOREST, MS 39074-4032
(601) 469-2020
(601) 469-5686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
481
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00088059
—
MS
Enumeration date
09/27/2006
Last updated
07/09/2007
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