Randall R Holloway Od

NPI #1396912747 in Fort Scott, Kansas

Provider Information

NPI Number: 1396912747
Entity Type: Organization
Organization Name: Randall R Holloway Od
Primary Specialty: Optometrist
Enumeration Date: May 14, 2008
Last Updated: Dec 27, 2012

Practice Location

Address: 4 S NATIONAL AVE
City: Fort Scott
State: Kansas
ZIP Code: 66701-1309
Phone: (620) 223-0850

Authorized Official

Name: DR. RANDALL R HOLLOWAY, OD
Title: OWNER
Phone: (620) 223-0850

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Provider Name	Specialty	City
DR. Randall Holloway, OD	Optometrist	Fort Scott	AI Deep Dive
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