Randy Craig Atwood, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3439T Issued in TX

Practice address

3725 Lemmon Ave
Dallas, TX 75219-4332

Phone

(214) 219-3393

Fax

(214) 443-1862

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154471787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194332",
            "telephone_number": "214-219-3393",
            "fax_number": "214-443-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 LEMMON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752194332",
            "telephone_number": "214-219-3393",
            "fax_number": "214-443-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWOOD",
        "first_name": "RANDY",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3439T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP (VISION SERVICE PLAN)",
            "identifier": "2142193393",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "51729",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "28036",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION",
            "identifier": "3143",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Atwood, L.M.T., CPT
• Emily Rose Atwood, PA
• Kathryn Atwood, PA
• Michael Andrew Atwood, MD
• Nina Atwood, M.ED., LPC
• Caitlin Au, DPT
• Eric Brandon Aubel, MD
• Rachel Aubert, DO
• Stephanie Aubert
• Carla Chesser Aubrey, M.S. CCC/SLP

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.