Individual provider Active NPI

Randy Wayne Charrier, O.D.

  • Optometrist
  • Spring, TX
National Provider Identifier
1124270582
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7296TG Issued in TX
Practice address
2827 Waterbend CV Unit 100
Spring, TX 77386-4278
Phone
(713) 349-0224
Fax
(713) 349-9834
NPI assigned
Oct 16, 2008
Last updated
Mar 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 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 7296TG TX Primary

Addresses

Primary practice location

2827 Waterbend CV Unit 100
Spring, TX 77386-4278

Mailing address

5177 Richmond Ave
Suite 780
Houston, TX 77056-6707
Phone (713) 349-0224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120127000277 TX Practitioner - Optometry 0345417606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SCRC Management IncGroup PAC ID 0042456527, 2 clinicians

Practice addresses (Care Compare)

2827 Waterbend CV
Suite 100
Spring, TX 77386-4278
Phone (713) 349-0224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7296TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
SCRC Management Inc Optometrist CurrentSince Feb 6, 2013 Accepting new patients
SCRC Group LTD LLP Optometrist PastSince Feb 6, 2013 Accepting new patients

Locations

5177 Richmond Ave
Ste 780
Houston, TX 77056
Phone (713) 349-0224

2827 Waterbend Cv
Ste 100
Spring, TX 77386
Phone (713) 349-0224

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": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1124270582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5177 RICHMOND AVE",
            "address_2": "SUITE 780",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770566707",
            "telephone_number": "713-349-0224",
            "fax_number": "713-349-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2827 WATERBEND CV UNIT 100",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773864278",
            "telephone_number": "713-349-0224",
            "fax_number": "713-349-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARRIER",
        "first_name": "RANDY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-16",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7296TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.