Randall R Holloway OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

KS11843 Issued in KS

Legal business name

RANDALL R HOLLOWAY OD

Practice address

4 S National Ave
Fort Scott, KS 66701-1309

Phone

(620) 223-0850

Fax

(620) 223-2464

NPI assigned

May 14, 2008

Last updated

Dec 27, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Randall R Holloway, ODNPI 1134221864

Title

Owner

Phone

(620) 223-0850

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall Holloway, OD

  • Optometrist
  • Fort Scott, KS
  • NPI 1134221864
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356566400000",
    "number": "1396912747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S NATIONAL AVE",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667011309",
            "telephone_number": "620-223-0850",
            "fax_number": "620-223-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S NATIONAL AVE",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667011309",
            "telephone_number": "620-223-0850",
            "fax_number": "620-223-2464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL R HOLLOWAY OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2012-12-27",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-223-0850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "KS11843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100217910A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Postai, APRN
• Presbyterian Manors, Inc. (Fort Scott Presbyterian Village)
• Quality Transportation Service Company
• Quinlan Eye Center, PA
• Quinlan Eye Surgery & Laser Center, P.a.
• Reh-2 Hospital Inc (Amberwell Fort Scott)
• Thomas Dale Reifschneider, D.C.
• Mariela Yesenia Rico Jimenez, ATC, LAT
• Riggs Chiropractic of Fort Scott, LLC (Riggs Chiropractic)
• Megan Riott, DDS

• Optometrist in Fort Scott, KS
• Providers in Fort Scott, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.