Randall R Ricketts in Chicago - Optometrist

What is the unique identifier code issued to Randall R Ricketts by the Centers for Medicare & Medicaid Services?

The Randall R Ricketts has been assigned the NPI (National Provider Identifier) 1083823611. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Randall R Ricketts's facilities are geographically located?

The facilities of Randall R Ricketts are physically situated at the following location: 1953 N Clybourn Ave, Chicago, IL, 606144945.

What is Randall R Ricketts's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Randall R Ricketts is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1083823611 to Randall R Ricketts?

The Centers for Medicare & Medicaid Services originally issued the 1083823611 to Randall R Ricketts on 2007-05-21.

When was the information pertaining to Randall R Ricketts most recently updated or revised?

The details related to Randall R Ricketts, including its address, specialty, and other relevant information, were last updated or revised on 2015-08-14.

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