Steve Randle

NPI #1588833412 in Amory, Mississippi

Provider Information

NPI Number: 1588833412
Entity Type: Organization
Organization Name: Steve Randle
Primary Specialty: Eyewear Supplier
Enumeration Date: Feb 25, 2008
Last Updated: Feb 1, 2011

Practice Location

Address: 307 MAIN ST S
City: Amory
State: Mississippi
ZIP Code: 38821-4219
Phone: (662) 256-8481

Authorized Official

Name: STEVE RANDLE, O.D.
Title: OWNER
Phone: (662) 256-8481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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