Individual provider Active NPI

Randall Denison Keator II, O.D.

  • Optometrist
  • Natchitoches, LA
National Provider Identifier
1124171798
Registry record updated Jul 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
778-078T Issued in LA
Practice address
140 E 5TH St
Natchitoches, LA 71457-5725
Phone
(318) 357-8194
Fax
(318) 352-3145
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 778-078T LA Primary

Addresses

Primary practice location

140 E 5TH St
Natchitoches, LA 71457-5725

Mailing address

140 E 5TH St
Natchitoches, LA 71457-5725
Phone (318) 357-8194

Other identifiers 2

IdentifierTypeStateIssuer
1198561MedicaidLA
1407895MedicaidLA

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
I20080502000025 LA Practitioner - Optometry 6507945524 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natchitoches Family Eye Care LLCGroup PAC ID 0042312258, 4 clinicians

Practice addresses (Care Compare)

946 Keyser Ave
Natchitoches, LA 71457-6266
Phone (318) 357-8194

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Natchitoches Family Eye Care LLC Optometrist CurrentSince May 1, 2008 Accepting new patients

Locations

910 Fisher Rd
Many, LA 71449
Phone (318) 256-0330

140 E 5th St
Natchitoches, LA 71457
Phone (318) 238-5990

946 Keyser Ave
Natchitoches, LA 71457
Phone (318) 332-6171

207 E North St
Winnfield, LA 71483
Phone (318) 628-1505

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373241600000",
    "number": "1124171798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E 5TH ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575725",
            "telephone_number": "318-357-8194",
            "fax_number": "318-352-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E 5TH ST",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575725",
            "telephone_number": "318-357-8194",
            "fax_number": "318-352-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATOR",
        "first_name": "RANDALL",
        "middle_name": "DENISON",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "778-078T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198561",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407895",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchitoches, LA

Sources for this page

Verify at the official NPI Registry.