Luke A. Randall Pllc

NPI #1184925737 in Boise, Idaho

Provider Information

NPI Number
1184925737
Entity Type
Organization
Organization Name
Luke A. Randall Pllc
Primary Specialty
Optometrist
Enumeration Date
Nov 13, 2010
Last Updated
Nov 13, 2010

Practice Location

Address
7319 W STATE ST
City
Boise
State
Idaho
ZIP Code
83714-6051
Phone
(208) 853-4786

Authorized Official

Name
DR. LUKE A. RANDALL, O.D.
Title
PRESIDENT
Phone
(208) 473-0172

Specialties & Taxonomy Codes

Specialty
Optometrist

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