Provider Demographics
NPI:1073986485
Name:DR. RANDY STEELE AND ASSOCIATES
Entity Type:Organization
Organization Name:DR. RANDY STEELE AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:606-784-3288
Mailing Address - Street 1:333 BEACON HILL RD
Mailing Address - Street 2:STE 200
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-6178
Mailing Address - Country:US
Mailing Address - Phone:606-784-3288
Mailing Address - Fax:606-784-3288
Practice Address - Street 1:333 BEACON HILL RD
Practice Address - Street 2:STE 200
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-6178
Practice Address - Country:US
Practice Address - Phone:606-784-3288
Practice Address - Fax:606-784-3288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-06
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty