Dr Clifton J Randle Iii, OD is a
Optometrist based in Jamestown, Tennessee. Dr Clifton J Randle Iii is licensed to practice in Tennessee (license number OD729) and his current practice location is
1205 Old Hwy 127s, Jamestown, Tennessee. He can be reached at his office (for appointments etc.) via phone at
(931) 879-5897.
NPI number for Dr Clifton J Randle Iii is 1528061835 and his current mailing address is 213 Roberts St, Livingston, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528061835.
Healthcare Provider's Profile
| Full Name | Dr Clifton J Randle Iii |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 1205 Old Hwy 127s, Jamestown, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528061835
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 01/23/2009
Medical Identifiers
Medical identifiers for Dr Clifton J Randle Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528061835 | NPI | - | NPPES |
| 3595164 | Medicaid | TN | |
| 3595167 | Medicaid | TN | |
| 3149057 | Other | TN | BCBS |
| 3595162 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OD729 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Clifton J Randle Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Clifton J Randle Iii, OD
213 Roberts St,
Livingston, TN 38570-1505
Ph: (931) 823-3380 | Dr Clifton J Randle Iii, OD
1205 Old Hwy 127s,
Jamestown, TN 38556-3030
Ph: (931) 879-5897 |
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