Organization
FAMILY VISION OF ANDERSON PA
Active
Other names
Family Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL I BAUGHMAN O.D. (OPTOMETRIST)
(864) 226-6041
Entity
Organization
Contact information
Practice address
2808 E NORTH AVE, ANDERSON, SC 29625-2300
(864) 226-6041
(864) 226-1232
Mailing address
2808 E NORTH AVE, ANDERSON, SC 29625-2300
(864) 226-6041
(864) 226-1232
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
824
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00173470
RAILROAD MEDICARE
SC
Enumeration date
01/19/2007
Last updated
09/29/2017
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