Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THERESA RANDALL
Active Sole ProprietorTHERESA RANDALL is a Optician, Dispensing healthcare provider located in NORTH AUGUSTA, South Carolina. NPI 1356072011 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · NORTH AUGUSTA, SC
Registration Details
- NPI Number
- 1356072011
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 22, 2022 (4.1736252906748 yrs)
- Last Updated
- Jun 22, 2022
- License
-
678 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1201 KNOX AVENORTH AUGUSTA, SC, 298414056Browse SC providers · Browse ZIP 29841
- Phone
- 8032020182
- Fax
- 8032020275
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in NORTH AUGUSTA, SC
| Name | Credential | NPI |
|---|---|---|
| MR. JACKIE FITZGERALD KEY II | ABOC, NCLEC, LDO | 1194454413 |
| JENNIFER SMITH | — | 1366173023 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.