Individual
DR. RANDY H NORRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1257 SW 4TH AVE, ONTARIO, OR 97914-4516
(541) 889-2191
(541) 881-1523
Mailing address
1257 SW 4TH AVE, ONTARIO, OR 97914-4516
(541) 889-2191
(541) 881-1523
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3386ATI
OR
152W00000X
Optometrist
ODP-100098
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807822301
—
ID
Enumeration date
05/15/2006
Last updated
04/26/2017
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