Randall L Zieth is a Sports Vision in Ripon, Wisconsin. Randall L Zieth practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for Randall L Zieth is 1396848107. The last update date is 2007-07-08.
Randall L Zieth's current location address is 113 Watson St, Ripon, Wisconsin. You can contact this provider via phone number 9207482676 and fax number 9207485105. The mailing address for Randall L Zieth is 113 Watson St, Ripon, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall L Zieth |
|---|---|
| Address | 113 Watson St, Ripon, Wisconsin |
| Phone Number | 9207482676 |
| Fax Number | 9207485105 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1396848107 |
|---|---|
| Provider Enumeration Date | 2006-09-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 113 Watson St |
|---|---|
| City | Ripon |
| State | Wisconsin (WI) |
| Post Code | 549711326 |
| Phone Number | 9207482676 |
| Fax Number | 9207485105 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Vision |
|---|---|
| Taxonomy | 152Ws0006X |
| Licence No | 1560-035 |
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Definition: An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38705800 | WI | -- |
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What is the unique 10-digit identifier code issued to Randall L Zieth by the Centers for Medicare & Medicaid Services?
The Randall L Zieth has been assigned the NPI (National Provider Identifier) 1396848107 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Randall L Zieth's facilities are geographically located?
The facilities of Randall L Zieth are physically situated at the following location: 113 Watson St, Ripon, WI, 549711326.
What is Randall L Zieth's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Randall L Zieth is Sports Vision, and the taxonomy classification code that categorizes this area of expertise is 152Ws0006X.
On what date did the Randall L Zieth receive the assignment of its 1396848107 from the Centers for Medicare & Medicaid Services?
The Randall L Zieth was issued its 1396848107 by the Centers for Medicare & Medicaid Services on 2006-09-07.
As of what date were the details pertaining to Randall L Zieth last refreshed?
The information related to the Randall L Zieth, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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