DERRICK RANDALL, OD
Optometrist
Active
Individual
NPI: 1417309329
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 087654 (IA) |
Frequently Asked Questions
NPI 1417309329 is the National Provider Identifier for DERRICK RANDALL, OD, a Optometrist provider located in Storm Lake, IA. This NPI was enumerated on July 5, 2016.
DERRICK RANDALL, OD practices at 600 ONTARIO ST, Storm Lake, IA 50588.
Quick Facts
- NPI
- 1417309329
- Type
- Individual
- Enumerated
- Jul 5, 2016
- Last Updated
- Mar 27, 2018
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