Randal D Jentzen is a Optometrist in Amarillo, Texas. Randal D Jentzen practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Randal D Jentzen is 1417981358. The last update date is 2018-04-20.
Randal D Jentzen's current location address is 5221 S Coulter St, Amarillo, Texas. You can contact this provider via phone number 8063583594 and fax number 8064571660. The mailing address for Randal D Jentzen is 5221 S Coulter St, Amarillo, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randal D Jentzen |
|---|---|
| Address | 5221 S Coulter St, Amarillo, Texas |
| Phone Number | 8063583594 |
| Fax Number | 8064571660 |
| Sole Proprietor | N |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1417981358 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2018-04-20 |
Provider Mailing Address Detail
| Address | 5221 S Coulter St |
|---|---|
| City | Amarillo |
| State | Texas (TX) |
| Post Code | 791196676 |
| Phone Number | 8063583594 |
| Fax Number | 8064571660 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 5171TG |
|
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 |
|---|---|---|---|
| 92986101 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Randal D Jentzen by the Centers for Medicare & Medicaid Services?
The Randal D Jentzen has been issued the NPI (National Provider Identifier) 1417981358. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Randal D Jentzen is located?
The Randal D Jentzen is situated at the following address: 5221 S Coulter St, Amarillo, TX, 791196676.
What is the area of specialization for Randal D Jentzen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Randal D Jentzen is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Randal D Jentzen receive its 1417981358 assignment from the Centers for Medicare & Medicaid Services?
The Randal D Jentzen was assigned its 1417981358 by the Centers for Medicare & Medicaid Services on 2006-07-10.
When was the information pertaining to Randal D Jentzen most recently updated or revised?
The details related to Randal D Jentzen, including its address, specialty, and other relevant information, were last updated or revised on 2018-04-20.