Randall T Parrish Jr OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RANDALL T PARRISH JR OD PA

Practice address

100 N Main St
Labelle, FL 33935-7000

Phone

(863) 675-0761

Fax

(863) 675-3518

NPI assigned

Feb 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Randall T Parrish Jr., ODNPI 1104898154

Title

Owner

Phone

(863) 675-0761

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Interoperability endpoints

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jordan Michael Parrish, O.D.

  • Optometrist
  • Labelle, FL
  • NPI 1679921977
  Medicare reassignment Care Compare group NPD
• Randall T Parrish Jr., OD

  • Optometrist
  • Labelle, FL
  • NPI 1104898154
  Medicare reassignment NPD Authorized official
• L Lamar Youmans, OD

  • Optometrist
  • Labelle, FL
  • NPI 1497726855
  Medicare reassignment Care Compare group NPD
• John Chmielewski

  • Physical Therapist
  • Fayetteville, GA
  • NPI 1598829251
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1104898162",
    "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": {
        "organization_name": "RANDALL T PARRISH JR OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-03",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-675-0761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "OPC 1494",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "99715",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "CF9406",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "OPC1494",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078861900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lilien Prieto Armas, PA
• John A Pullaro II, NP-C
• Lisdeivis Pupo Dieppa, RBT-25-411439
• Orestes Quinones Morales, MD
• Daned Quinones Santi
• Jay Alexandra Reed, LCSW
• Lisy Reyes Dominguez
• Ingrid Ricketts-Smith
• River Oakes Medical Associates
• Taylor N Rives, APRN

• Optometrist in Labelle, FL
• Providers in Labelle, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.