Organization
JOHN G RANDALL
Active
Other names
John G Randall
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN G RANDALL O.D. (OPTOMETRIST)
(903) 892-4292
Entity
Organization
Contact information
Practice address
2306 N TRAVIS ST, SHERMAN, TX 75092-2517
(903) 892-4292
(903) 893-8734
Mailing address
2306 N TRAVIS ST, SHERMAN, TX 75092-2517
(903) 892-4292
(903) 893-8734
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5449TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019078701
—
TX
Enumeration date
04/22/2008
Last updated
06/30/2008
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