Individual
DR. RANDALL ALAN LITTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
97 ST CLAIR ST, TRACY CITY, TN 37387-1437
(931) 592-2868
(931) 592-2875
Mailing address
PO BOX 849, TRACY CITY, TN 37387-0849
(931) 592-2868
(931) 592-2875
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD854
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2240225
UNITED HEALTHCARE
TN
05
—
3595020
—
TN
01
—
48248
BCBS NUMBER
TN
Enumeration date
10/03/2006
Last updated
02/06/2024
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