Individual provider Active NPI

Randal V Christian, O.D.

  • Optometrist
  • Opelousas, LA
National Provider Identifier
1124083621
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
793-005T Issued in LA
Practice address
232 N Union St
Opelousas, LA 70570-6208
Phone
(337) 948-9504
Fax
(337) 942-3545
NPI assigned
Apr 18, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 793-005T LA Primary

Addresses

Primary practice location

232 N Union St
Opelousas, LA 70570-6208

Mailing address

232 N Union St
Opelousas, LA 70570-6208
Phone (337) 948-9504

Other identifiers 1

IdentifierTypeStateIssuer
1178322MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20100809000970 LA Practitioner - Optometry 6800929076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

232 N Union St
Opelousas, LA 70570-6208
Phone (337) 948-9504

Merit-based Incentive Payment System (MIPS)

Final score
97.81 of 100Reported as individual
Quality
95.63
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
793LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyewear Boutique, Inc Optometrist CurrentSince May 1, 2010 Accepting new patients
Eyewear Boutique Inc Optometrist CurrentSince May 1, 2010 Accepting new patients

Locations

232 N Union St
Opelousas, LA 70570
Phone (337) 948-9504

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1124083621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 N UNION ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706208",
            "telephone_number": "337-948-9504",
            "fax_number": "337-942-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 N UNION ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706208",
            "telephone_number": "337-948-9504",
            "fax_number": "337-942-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTIAN",
        "first_name": "RANDAL",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "793-005T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1178322",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.