1346281128

Everything you always wanted to know about SAWYER B RANDOLPH OD but were afraid to ask.

SAWYER B RANDOLPH OD

You can also download the this 1346281128 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
SAWYER B RANDOLPH OD
Gender:
Male
Enumeration date:
2006-06-10
Last update date:
2007-12-11
Current as of:
2007-08-28
Is sole proprietor?:
No
Is organization subpart?:
Not Answered
In PECOS?:
Yes
Search for RANDOLPH, SAWYER in
PubMed
Propublica Dollars for Docs

Identifiers

identifier description issuer state active
MM0351 Medicare ID-Type Undpecified none ME 1
U99981 Medicare UPIN none ME 1

Taxonomies

Taxonomy State License Number Primary?
152W00000X Optometrist ME 872T

Phone Numbers

Type Number
Mailing Address Telephone Number 2077530800
Practice Location Address Telephone Number 2077530800

Addresses

Type Address City State Postal Country
Mailing Address 100 MOUNT AUBURN AVE AUBURN ME 4210 ME
Practice Location Address 100 MOUNT AUBURN AVE AUBURN ME 4210 ME

Other NPI Records that share an address

NPI Name Address State City
1164510780 VISION CENTER 30-1868
Organization
100 MOUNT AUBURN AVE ME AUBURN
1710083233 TETZLAFF, COLLEEN
Individual
100 MOUNT AUBURN AVE ME AUBURN
1912924283 WAL-MART PHARMACY 10-1868
Organization
100 MOUNT AUBURN AVE ME AUBURN

Other NPI Records that share an identifier

NPI Name Address State City Identifier types that matches
1811941255 JONES, KIRAN
Individual
419 MOOSEHEAD TRL ME NEWPORT Identifier: U99981 (Medicare UPIN)