Steve Randle is a Optometrist in Amory, Mississippi. Steve Randle practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Steve Randle is 1114958758. The last update date is 2022-07-21.
Steve Randle's current location address is 307 South Main St, Amory, Mississippi. You can contact this provider via phone number 6622568481 and fax number 6622565276. The mailing address for Steve Randle is 307 South Main St, Amory, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steve Randle |
|---|---|
| Address | 307 South Main St, Amory, Mississippi |
| Phone Number | 6622568481 |
| Fax Number | 6622565276 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1114958758 |
|---|---|
| Provider Enumeration Date | 2006-07-05 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 307 South Main St |
|---|---|
| City | Amory |
| State | Mississippi (MS) |
| Post Code | 388210 |
| Phone Number | 6622568481 |
| Fax Number | 6622565276 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 640715180 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 410002688 | MS | RAILROAD MEDICARE | |
| 87048 | MS | -- | |
| 477949 | MS | ADVANTRA FREEDOM |
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What is the unique identification code assigned to Steve Randle by the Centers for Medicare & Medicaid Services?
The Steve Randle has been issued the NPI (National Provider Identifier) 1114958758. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Steve Randle?
The Steve Randle is situated at 307 South Main St, in the city of Amory, state of MS, with the zip code 388210.
What is the Steve Randle's area of specialization and corresponding taxonomy classification?
The Steve Randle's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1114958758 to Steve Randle?
The Centers for Medicare & Medicaid Services assigned the 1114958758 to Steve Randle on 2006-07-05.
As of what date were the details pertaining to Steve Randle last refreshed?
The information related to the Steve Randle, including its address, specialty, and other relevant details, was last updated on 2022-07-21.