Individual provider Active NPI

Randy K Richardson, MD

  • Ophthalmology Physician
  • Oxford, MS
National Provider Identifier
1013951987
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
11076 Issued in MS
Practice address
2606 S. Lamar
Oxford, MS 38655-5302
Phone
(662) 234-6551
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 11076 MS Primary

Addresses

Primary practice location

2606 S. Lamar
Oxford, MS 38655-5302

Mailing address

1308 Belk Blvd
Oxford, MS 38655-5302

Other identifiers 1

IdentifierTypeStateIssuer
0123194MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000516 MS Practitioner - Ophthalmology 4880752252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Mississippi School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rayner Eye Clinic, LLCGroup PAC ID 9537136577, 10 clinicians

Practice addresses (Care Compare)

2606 S Lamar Blvd
Oxford, MS 38655-5243
Phone (662) 234-6551

6762 Getwell Rd
Southaven, MS 38672-6403
Phone (662) 890-1112

Merit-based Incentive Payment System (MIPS)

Final score
79.83 of 100Reported as group
Quality
95.68
Promoting interoperability
100
Improvement activities
40
Cost
37.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11076MSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rayner Eye Clinic, LLC CurrentSince Oct 2, 2001 Accepting new patients
Rayner Optical, LLC Past Accepting new patients

Locations

2606 S Lamar Blvd
Oxford, MS 38655
Phone (662) 234-0173

6762 Getwell Rd
Southaven, MS 38672
Phone (662) 890-1112

Interoperability endpoints

  • Direct secure messaging: randyrichardson@direct-address.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1013951987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 BELK BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 S. LAMAR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555302",
            "telephone_number": "662-234-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "RANDY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "11076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123194",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.