Organization Active NPI

Randy a. Omlor, OD PA

Doing business as Visual Eyes Optometric

  • Optometrist
  • Shelby, NC
National Provider Identifier
1194905695
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2039 Issued in NC
Legal business name
RANDY A. OMLOR, OD PA
Doing business as
Visual Eyes Optometric
Practice address
1415 N Lafayette St
Shelby, NC 28150-3406
Phone
(704) 487-4099
NPI assigned
Nov 13, 2007
Last updated
Aug 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Dr. Randy A Omlor, O.D, M.S.
Title
President
Phone
(828) 657-0016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2039 NC Primary

Addresses

Primary practice location

1415 N Lafayette St
Shelby, NC 28150-3406

Mailing address

1415 N Lafayette St
Shelby, NC 28150-3406
Phone (704) 487-4099

Other identifiers 1

IdentifierTypeStateIssuer
1215038898OtherNCINDIVIDUAL NPI

Other names 1

  • Visual Eyes Optometric Doing business as

National Provider Directory

National Provider Directory

Locations

222 N Lafayette St
Ste 12
Shelby, NC 28150
Phone (704) 487-4099

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1194905695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 N LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503406",
            "telephone_number": "704-487-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 N LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503406",
            "telephone_number": "704-487-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY A. OMLOR, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "OMLOR",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-657-0016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D, M.S."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1215038898",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visual Eyes Optometric",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.