| NPI | 1376939975 |
|---|---|
| Former Legal Business Name | RANDLE OPTOMETRIC SERVICES PLLC |
| Entity Type | Organization |
| Authorized Contact | ERIC D RANDLE O PT Ometrist 662-213-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MS 687) |
| Enumeration Date | 2015-04-09 |
| Last Update Date | 2021-11-09 |