Individual
DR. RANDY CARL OLIVER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2900 DOOLITTLE DR, ELLSWORTH AFB, SD 57706-4821
(605) 385-3281
(605) 385-2424
Mailing address
4015 PRAIRIE VIEW DR, RAPID CITY, SD 57701-2113
(605) 716-7864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
596
SD
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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