Individual provider Active NPI

John Carlton Randolph, MD

  • Ophthalmology Physician
  • Orlando, FL
National Provider Identifier
1164621330
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME119936 Issued in FL
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

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140812002049 FL Practitioner - Ophthalmology 9537337183 Reassigns benefits to 1 organization

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
Ophthalmic Partners of Florida PAGroup PAC ID 5698688182, 5 clinicians

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME119936FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Partners of Florida PA Ophthalmology CurrentSince Apr 1, 2025 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

  • Direct secure messaging: john.randolph.p1@direct.cfretina.nextgenshare.com
  • Direct secure messaging: jrandolph@crmd.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.