Individual provider Active NPI

Randall John Riemer, O.D.

  • Optometrist
  • Portland, MI
National Provider Identifier
1194714071
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901002984 Issued in MI
Practice address
207 E Bridge St
Portland, MI 48875-1436
Phone
(517) 647-2020
NPI assigned
Oct 13, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901002984 MI Primary

Addresses

Primary practice location

207 E Bridge St
Portland, MI 48875-1436

Mailing address

207 E Bridge St
Portland, MI 48875-1436
Phone (517) 647-2020

Other identifiers 1

IdentifierTypeStateIssuer
94-2913642MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20100928000686 MI Practitioner - Optometry 7810013836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

207 E Bridge St
Portland, MI 48875-1436
Phone (517) 647-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901002984MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Randall J Riemer, OD, PLC Optometrist CurrentSince Jun 1, 1990 Accepting new patients

Locations

207 E Bridge St
Portland, MI 48875
Phone (517) 647-2020

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, 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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194714071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E BRIDGE ST",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751436",
            "telephone_number": "517-647-2020",
            "fax_number": "517-647-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E BRIDGE ST",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488751436",
            "telephone_number": "517-647-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEMER",
        "first_name": "RANDALL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901002984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94-2913642",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, MI

Sources for this page

Verify at the official NPI Registry.