Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDEL EDWARD JOHANSON, R.D.O.
Active Sole ProprietorRANDEL EDWARD JOHANSON, R.D.O. is a Optician, Dispensing healthcare provider located in CHICO, California. NPI 1902988074 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · CHICO, CA
Registration Details
- NPI Number
- 1902988074
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2006 (19.841868788552 yrs)
- Last Updated
- Jul 8, 2007
- License
-
D3437 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1722 MANGROVE AVESUITE 32CHICO, CA, 959262300Browse CA providers · Browse ZIP 95926
- Phone
- 5308951474
- Fax
- 5308951441
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in CHICO, CA
| Name | Credential | NPI |
|---|---|---|
| GARY ALAN BATES | RDO | 1780214403 |
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.