Organization
RANDOLPH EYE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD CLINE OD (OWNER)
(781) 986-7400
Entity
Organization
Contact information
Practice address
27 MEMORIAL PKWY, RANDOLPH, MA 02368-4505
(781) 986-7400
Mailing address
27 MEMORIAL PKWY, RANDOLPH, MA 02368-4505
(781) 986-7400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1152531
UHC GROUP
—
01
—
708853A
TUFTS
MA
05
—
9726659
—
MA
01
—
W20030
BCBS GROUP
MA
Enumeration date
07/28/2006
Last updated
09/22/2008
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