National Provider Identifier Database

RANDALL K PUCKETT
Optometrist

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 systemic conditions affecting the eye.


Contact Information

RANDALL K PUCKETT
225 HOSPITAL DR BLDG B STE 160
WINCHESTER, KY40391
Phone: 859-744-4429
Fax: 859-745-7702
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for RANDALL K PUCKETT

NPI Number 1326031527
Credentials
Entity Individual
Enumeration date 08/24/2005
Last updated 03/07/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • KY License #: 1190DT
  • KY Medicaid: 77011906
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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