Randal J Ethridge (NPI# 1144324260, PAC ID# 9032015995) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1144324260 |
| PAC ID by PECOS | 9032015995 |
| Professional Enrollment ID | I20031210001009 |
| Full Name | Randal J Ethridge |
| Address |
1200 Austin Ave Brownwood TX 76801-3311 |
| Phone Number | 3256435511 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1991 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1200 Austin Ave, Brownwood, TX 76801-3311 | 3256435511 |
| Street Address |
1200 AUSTIN AVE |
| City | BROWNWOOD |
| State | TX |
| Zip | 76801-3311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kent Collier Comolli | Optometry | 1200 Austin Ave, Brownwood, TX 76801-3311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Travis W Locklear | General Surgery | 105 Streckert, Brownwood, TX 76801 | |
| Victor A Gutierrez | Psychiatry | Central Texas Mental Health and Mental Retardation Center | 408 Mulberry St, Brownwood, TX 76801-1639 |
| Crystal E Neel | Nurse Practitioner | Central Texas Mental Health and Mental Retardation Center | 408 Mulberry St, Brownwood, TX 76801-1639 |
| Funmilola Omolola Adelokiki | Nurse Practitioner | Central Texas Mental Health and Mental Retardation Center | 408 Mulberry St, Brownwood, TX 76801-1639 |
| George B Tipton | Psychiatry | Central Texas Mental Health and Mental Retardation Center | 408 Mulberry St, Brownwood, TX 76801-1639 |
| Bryan L Kramer | Optometry | 401 A W Commerce St, Brownwood, TX 76801-1701 | |
| Stephen G Hlis | Optometry | 537 W Commerce St, Brownwood, TX 76801-1705 | |
| Karen R Little | Nurse Practitioner | Regional Employee Assistance Program Inc | 302 E Commerce St, Brownwood, TX 76801-1824 |
| Pennissi P Taylor | Psychologist, Clinical | 205 Ctr Ave, Brownwood, TX 76801-2919 | |
| Jerry W Fleming | Clinical Social Worker | 205 Ctr Ave, Brownwood, TX 76801-2919 | |
| Find all physicians in zip 76801 | |||
| City | BROWNWOOD |
| Zip Code | 76801 |
| Specialty | OPTOMETRY |
| City + Specialty | BROWNWOOD + OPTOMETRY |
Please comment or provide details below to improve the information on Randal J Ethridge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.