Individual
DR. RANDY W ASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
765 E COLLEGE DR, SUITE #1, DURANGO, CO 81301-5547
(970) 385-4599
(970) 385-5254
Mailing address
765 E COLLEGE DR, SUITE #1, DURANGO, CO 81301-5547
(970) 385-4599
(970) 385-5254
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1424
CO
152WC0802X
Corneal and Contact Management Optometrist
1424
CO
152WP0200X
Pediatric Optometrist
1424
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08014243
—
CO
Enumeration date
12/13/2006
Last updated
02/01/2017
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