Active NPI
John Carlton Randolph, MD
- Ophthalmology Physician
- Orlando, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME119936
- Practice address
- 3824 Oakwater Cir
Orlando, FL 32806-6263 - Phone
- (800) 255-7188
- Fax
- (407) 425-7188
- NPI assigned
- Jul 17, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | ME119936 | FL | |
| Ophthalmology Physician | 207W00000X | ME119936 | FL | Primary |
Addresses
Primary practice location
3824 Oakwater Cir
Orlando, FL 32806-6263
Mailing address
3824 Oakwater Cir
Orlando, FL 32806-6263
Phone (407) 425-7188
Other practice location 1
1101 Wellness Way
Oviedo, FL 32765-8237
Phone (407) 425-7188
Other practice location 2
1121 Miranda Ln Ste 1415
Kissimmee, FL 34741-0763
Phone (407) 425-7188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of Miami, LM Miller School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3824 Oakwater Cir
Orlando, FL 32806-6263
Phone (407) 425-7188
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME119936 | FL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Partners of Florida PA | Ophthalmology | Current | Accepting new patients |
| Rayner Optical, LLC | Past | Accepting new patients | |
| Clermont Ambulatory Surgical Center | Past | Accepting new patients |
Locations
1121 Miranda Ln
Kissimmee, FL 34741
Phone (407) 425-7188
1121 Miranda Ln
Ste 1415
Kissimmee, FL 34741
Phone (407) 425-7188
415 N Causeway
New Smyrna Beach, FL 32169
Phone (386) 427-4143
3824 Oakwater Cir
Orlando, FL 32806
Phone (407) 425-7188
1101 Wellness Way
Ste 1415
Oviedo, FL 32765
Phone (407) 425-7188
Networks
- Freedom Health HMO Network
Interoperability endpoints
- john.randolph.p1@direct.cfretina.nextgenshare.com
- jrandolph@crmd.emadirect.md
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- john.randolph.1@18417.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Orlando, FL
- NPI 1740387968
-
- Ambulatory Surgical Clinic/Center
- Clermont, FL
- NPI 1578508875
-
- Durable Medical Equipment & Medical Supplies
- Oxford, MS
- NPI 1306957709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757289600000",
"number": "1164621330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3824 OAKWATER CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066263",
"telephone_number": "407-425-7188",
"fax_number": "407-423-9040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3824 OAKWATER CIR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328066263",
"telephone_number": "800-255-7188",
"fax_number": "407-425-7188"
}
],
"practiceLocations": [
{
"address_1": "1101 Wellness Way",
"address_purpose": "LOCATION",
"city": "Oviedo",
"state": "FL",
"postal_code": "327658237",
"country_code": "US",
"telephone_number": "407-425-7188",
"fax_number": "407-423-9040",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1121 Miranda Ln Ste 1415",
"address_purpose": "LOCATION",
"city": "Kissimmee",
"state": "FL",
"postal_code": "347410763",
"country_code": "US",
"telephone_number": "407-425-7188",
"fax_number": "407-423-9040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANDOLPH",
"first_name": "JOHN",
"middle_name": "CARLTON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-17",
"last_updated": "2025-09-08",
"certification_date": "2025-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "FL",
"license": "ME119936",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME119936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.