Randall R Holloway Od in Fort Scott - Optometrist

Randall R Holloway Od - NPI 1396912747

Randall R Holloway Od is a Optometrist in Fort Scott, Kansas. Randall R Holloway Od practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Randall R Holloway Od is 1396912747. The last update date is 2012-12-27.

Randall R Holloway Od's current location address is 4 S National Ave, Fort Scott, Kansas. You can contact this provider via phone number 6202230850 and fax number 6202232464. The mailing address for Randall R Holloway Od is 4 S National Ave, Fort Scott, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Randall R Holloway Od
Address 4 S National Ave, Fort Scott, Kansas
Phone Number 6202230850
Fax Number 6202232464
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Holloway R Randall
Credentials OD
Telephone Number 6202230850

NPI Number Detail

NPI Number 1396912747
Provider Enumeration Date 2008-05-14
Last Updated Date 2012-12-27

Provider Mailing Address Detail

Address 4 S National Ave
City Fort Scott
State Kansas (KS)
Post Code 667011309
Phone Number 6202230850
Fax Number 6202232464

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No KS11843
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100217910A KS --

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FAQs about Randall R Holloway Od

What is the unique 10-digit identifier code assigned to Randall R Holloway Od by the Centers for Medicare & Medicaid Services?

The Randall R Holloway Od has been issued the NPI (National Provider Identifier) 1396912747 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Randall R Holloway Od is physically located?

The Randall R Holloway Od is situated at the following address: 4 S National Ave, Fort Scott, KS 667011309.

What is Randall R Holloway Od'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 Holloway Od is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.

On what date did the Randall R Holloway Od receive the assignment of its 1396912747 from the Centers for Medicare & Medicaid Services?

The Randall R Holloway Od was issued its 1396912747 by the Centers for Medicare & Medicaid Services on 2008-05-14.

As of what date was the information pertaining to Randall R Holloway Od, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Randall R Holloway Od, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-12-27.

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