Randel Edward Johanson in Chico - Optician
Randel Edward Johanson - NPI 1902988074
Randel Edward Johanson is a Optician in Chico, California. Randel Edward Johanson practices all healthcare services and medical treatments related to Optician. The NPI Number for Randel Edward Johanson is 1902988074. The last update date is 2007-07-08.
Randel Edward Johanson's current location address is 1722 Mangrove Ave, Chico, California. You can contact this provider via phone number 5308951474 and fax number 5308951441. The mailing address for Randel Edward Johanson is 1722 Mangrove Ave, Chico, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randel Edward Johanson |
|---|---|
| Address | 1722 Mangrove Ave, Chico, California |
| Phone Number | 5308951474 |
| Fax Number | 5308951441 |
| Sole Proprietor | Y |
| Credentials | R.D.O. |
NPI Number Detail
| NPI Number | 1902988074 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1722 Mangrove Ave |
|---|---|
| City | Chico |
| State | California (CA) |
| Post Code | 959262300 |
| Phone Number | 5308951474 |
| Fax Number | 5308951441 |
Provider's Primary Taxonomy Detail
| Speciality | Optician |
|---|---|
| Taxonomy | 156Fx1800X |
| Licence No | D3437 |
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Definition: Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. |
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What is the unique 10-digit identification code assigned to Randel Edward Johanson by the Centers for Medicare & Medicaid Services?
The Randel Edward Johanson has been issued the NPI (National Provider Identifier) 1902988074, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Randel Edward Johanson's facilities are geographically located?
The facilities of Randel Edward Johanson are physically situated at the following location: 1722 Mangrove Ave, Chico, CA, 959262300.
What is Randel Edward Johanson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Randel Edward Johanson is Optician, and the corresponding taxonomy classification code for this specialized field is 156Fx1800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902988074 to Randel Edward Johanson?
The Randel Edward Johanson received its 1902988074 assignment from the Centers for Medicare & Medicaid Services on 2006-10-19.
As of what date was the information regarding Randel Edward Johanson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Randel Edward Johanson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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