Individual provider Active NPI

Randall T Parrish Jr., OD

  • Optometrist
  • Labelle, FL
National Provider Identifier
1104898154
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1494 Issued in FL
Practice address
100 N Main St
Labelle, FL 33935-7000
Phone
(863) 675-0761
Fax
(863) 675-3518
NPI assigned
Feb 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1494 FL Primary

Addresses

Primary practice location

100 N Main St
Labelle, FL 33935-7000

Mailing address

100 N Main St
Labelle, FL 33935-7000
Phone (863) 675-0761

Other identifiers 6

IdentifierTypeStateIssuer
OPC1494OtherTRICARE
078209200MedicaidFL
OPC 1494OtherCIGNA
OPC1494OtherUNITED HEALTHCARE
19189OtherFLBCBS
OPC1494OtherFLCOMMERCIAL INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rtparrish@rtparrish.eyefinity-direct.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100626000055 FL Practitioner - Optometry 8527199157 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC1494FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Randall T Parrish Jr OD PA Optometrist CurrentSince Jul 9, 1990 Accepting new patients

Locations

100 N Main St
Labelle, FL 33935
Phone (863) 675-0761

Interoperability endpoints

  • Direct secure messaging: rtparrish@rtparrish.eyefinity-direct.com

Organizations & group practices 1

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1104898154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339357000",
            "telephone_number": "863-675-0761",
            "fax_number": "863-675-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N MAIN ST",
            "city": "LABELLE",
            "state": "FL",
            "postal_code": "339357000",
            "telephone_number": "863-675-0761",
            "fax_number": "863-675-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "RANDALL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "OPC1494",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078209200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "OPC 1494",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "OPC1494",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "19189",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "OPC1494",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtparrish@rtparrish.eyefinity-direct.com",
            "affiliation": "N",
            "address_1": "100 N Main St",
            "city": "LaBelle",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339357000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Labelle, FL

Sources for this page

Verify at the official NPI Registry.