Individual provider Active NPI

Randall S. Ramsey, O.D.

  • Corneal and Contact Management Optometrist
  • Dublin, CA
National Provider Identifier
1013032655
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
6101T Issued in CA
Practice address
4550 Tassajara Rd
Suite C
Dublin, CA 94568-4610
Phone
(925) 479-0400
Fax
(925) 479-0401
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 6101T CA Primary
Corneal and Contact Management Optometrist 152WC0802X 1072-1 KS

Addresses

Primary practice location

4550 Tassajara Rd
Suite C
Dublin, CA 94568-4610

Mailing address

4550 Tassajara Rd
Suite C
Dublin, CA 94568-4610
Phone (925) 479-0400

Other identifiers 1

IdentifierTypeStateIssuer
SD006647MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6101TCAMDCorneal and Contact Management Optometrist
1072-1KSMDCorneal and Contact Management Optometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013032655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 TASSAJARA RD",
            "address_2": "SUITE C",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945684610",
            "telephone_number": "925-479-0400",
            "fax_number": "925-479-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 TASSAJARA RD",
            "address_2": "SUITE C",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945684610",
            "telephone_number": "925-479-0400",
            "fax_number": "925-479-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSEY",
        "first_name": "RANDALL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "6101T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "KS",
            "license": "1072-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD006647",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.