Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANTWAN PERCY RANDOLPH, O.D.
Active Sole ProprietorDR. ANTWAN PERCY RANDOLPH, O.D. is a Optometrist healthcare provider located in SPEARFISH, South Dakota. NPI 1568798841 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SPEARFISH, SD
Registration Details
- NPI Number
- 1568798841
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2009 (16.787223619894 yrs)
- Last Updated
- Sep 15, 2021
- Licenses
-
2010002259 (MO)2911 (TN)748 (SD)748 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2549 YUKON PLSPEARFISH, SD, 577838531Browse SD providers · Browse ZIP 57783
- Phone
- 6055491212
- Fax
- 6055491313
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
- Additional Specialty
- Vision Therapy Optometrist
- Additional Specialty
- Optometrist
Other Optometrist Providers in SPEARFISH, SD
| Name | Credential | NPI |
|---|---|---|
| TAMMY KAY HERSCH | O.D. | 1609855980 |
| DR. A B HAUGE | — | 1982671145 |
| DR. SCOTT KENNEDY | — | 1871561795 |
| ROBERT G GOODRICH | OD | 1730133422 |
| DR. TERRY J WOLTHUIS | O.D. | 1770524688 |
| DR. KATHRYN OPBROEK HAIVALA | OD | 1477564771 |
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.