Provider Demographics
NPI:1588645360
Name:FINCHER, RANDOLPH E (OD)
Entity type:Individual
Prefix:
First Name:RANDOLPH
Middle Name:E
Last Name:FINCHER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7447 6 EARAPAHOE RD
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1200
Mailing Address - Country:US
Mailing Address - Phone:303-770-8081
Mailing Address - Fax:303-770-1642
Practice Address - Street 1:7447 6 E ARAPAHOE RD
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1200
Practice Address - Country:US
Practice Address - Phone:303-770-8081
Practice Address - Fax:303-770-1642
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-09
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO945152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COD0103Medicare ID - Type Unspecified
T60770Medicare UPIN