Individual
DR. RANDALL MICHAEL MACEYKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
915 STATE ROUTE 46, COLUMBIANA, OH 44408-9457
(330) 482-1000
(330) 482-6000
Mailing address
915 STATE ROUTE 46, COLUMBIANA, OH 44408-9457
(330) 482-1000
(330) 482-6000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3550T943
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0491918
—
OH
Enumeration date
01/19/2006
Last updated
04/22/2008
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