Fuja, Randy L

Fuja, Randy L is an individual health care provider with primary practice located at 2631Foothill Blvd Suite A, Rock Springs WY 82901-4770. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fuja, Randy L can be contacted via phone (307) 362-4202.

Contact Information

Primary practice address
2631Foothill Blvd Suite A Rock Springs WY 82901-4770
Phone: (307) 362-4202
Fax: (307) 362-4332
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X WY214T Wyoming

Profile Details

NPI number 1215979976
LBN Legal business name Fuja, Randy L
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Nov 4th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215979976 NPPES
Wyoming MEDICAID 108096200
Wyoming Other 410019956
Wyoming Other 410026623

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