Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDY E WADDELL
Active Sole ProprietorRANDY E WADDELL is a Optometrist healthcare provider located in GREYBULL, Wyoming. NPI 1679573380 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GREYBULL, WY
Registration Details
- NPI Number
- 1679573380
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2005 (21.064665515268 yrs)
- Last Updated
- Feb 11, 2008
- License
-
133T (WY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
426 GREYBULL AVEGREYBULL, WY, 824262037Browse WY providers · Browse ZIP 82426
- Phone
- 3077652998
- Fax
- 3077652614
- Primary Specialty
-
Optometrist
152W00000X
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.