DR. Randy Anthony Wiebelhaus, O.D.

NPI #1801022504 in Denton, Texas

Provider Information

NPI Number: 1801022504
Entity Type: Individual
Name: DR. Randy Anthony Wiebelhaus, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 9, 2009
Last Updated: Jun 9, 2009

Practice Location

Address: 2430 S I-35 E # SOUTH
Address 2: SUITE 156
City: Denton
State: Texas
ZIP Code: 76205-4986
Phone: (940) 484-8857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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