Healthcare Provider Details

I. General information

NPI: 1467592287
Provider Name (Legal Business Name): RANDALL HARPRING O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 11/18/2021
Certification Date: 11/18/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8340 COLERAIN AVE
CINCINNATI OH
45239-3916
US

IV. Provider business mailing address

1950 OLD GALLOWS RD STE 520
VIENNA VA
22182-3970
US

V. Phone/Fax

Practice location:
  • Phone: 513-245-9099
  • Fax: 513-245-9151
Mailing address:
  • Phone: 703-847-8899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3861
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: