Healthcare Provider Details

I. General information

NPI: 1295829927
Provider Name (Legal Business Name): WILLIAM J RAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

RAND EYE INSTITUTE 5 WEST SAMPLE ROAD
POMPANO BEACH FL
33064-3542
US

IV. Provider business mailing address

RAND EYE INSTITUTE 5 WEST SAMPLE ROAD
POMPANO BEACH FL
33064-3542
US

V. Phone/Fax

Practice location:
  • Phone: 954-782-1700
  • Fax:
Mailing address:
  • Phone: 954-782-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberME0033674
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME0033674
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: