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Contact Information

ERIC D RANDLE, O. D.
2708 WEST OXFORD LOOP
SUITE 110
OXFORD, MS38655
 Phone: 662-380-5041
 Fax: 662-380-5042
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ERIC D RANDLE · (Male)

NPI Number 1336247816
Status Active
Credentials O. D.
Entity Individual
Enumeration date 09/20/2006
Last updated 02/10/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 687
  • MS License # 687P-Y
  • MS Medicaid 004600368
  • MS Medicaid 0880214
  • MS Other 406165 MEDICARE
Hospital affiliation(s) Not Available
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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