Whalio Doctors

NPI 1093199192

Randal J Rabon, OD

Practitioner Optometrist Mountain City, TN

Practice location

Address
114 W Main St, Mountain City, TN 37683-1308
Phone
(423) 460-1567
Fax
(423) 460-1645
Mailing address
510 N Main Ave STE 2, Erwin, TN 37650-1393

Registered specialties

Optometrist Primary
Eye and Vision Services Providers Taxonomy 152W00000X Licence OD3261 (TN)

Registry record

NPI
1093199192
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Jul 2015
Record last updated
21 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.