Individual
MARCUS S RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1400 W CENTRAL AVE, EL DORADO, KS 67042-2201
(316) 320-2200
(316) 320-0430
Mailing address
1851 N WEBB RD, WICHITA, KS 67206-3413
(316) 691-4484
(316) 691-4408
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1846
KS
Other
Enumeration date
08/06/2009
Last updated
12/12/2013
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