Provider Demographics
NPI:1316940414
Name:MARCH, RANDAL E (MD)
Entity type:Individual
Prefix:
First Name:RANDAL
Middle Name:E
Last Name:MARCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6770 MAYFIELD RD
Mailing Address - Street 2:# 338
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2299
Mailing Address - Country:US
Mailing Address - Phone:440-442-4330
Mailing Address - Fax:440-442-4695
Practice Address - Street 1:6770 MAYFIELD RD
Practice Address - Street 2:# 338
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2299
Practice Address - Country:US
Practice Address - Phone:440-442-4330
Practice Address - Fax:440-442-4695
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-04-9627-M207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH51740OtherQUALCHOICE
OH22321OtherCOLE MANAGED VISION
OH180023722OtherRAILROAD MEDICARE
OH000000115593OtherANTHEM
OH102647OtherKAISER
OH0801006OtherUNITED HEALTHCARE
OH341345260028OtherCARESOURCE
OH341345260028OtherCARESOURCE
OH180023722OtherRAILROAD MEDICARE