Randy A Omlor, O.D, M.S

Primary specialty

OptometristTaxonomy code 152W00000X

License

5643 Issued in OH

Practice address

4907 Dalbey Lane
Suite B
Berlin, OH 44610-0224

Phone

(330) 893-2215

NPI assigned

Sep 26, 2006

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

Medicare fee-for-service enrollment

Enrolled in OH, TX2 enrollments

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 2

Specialty

Optometry

Education

Ohio State University - College of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert L. Miller, OD Inc.Group PAC ID 5597765925, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Robert L. Miller, OD Inc.

  • Optometrist
  • Hartville, OH
  • NPI 1225040868
  Medicare reassignment Care Compare group
• Cherokee Indian Hospital Authority

  • General Acute Care Hospital
  • Cherokee, NC
  • NPI 1770662348

  TX

  Medicare reassignment NPD
• Cherokee Indian Hospital Authority

  • Health Service Clinic/Center
  • Cherokee, NC
  • NPI 1396021200
  NPD
• Cherokee Indian Hospital Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cherokee, NC
  • NPI 1588840318
  NPD (past)
• PMV Optometry, P.a.

  • Optometrist
  • Shelby, NC
  • NPI 1760931299
  NPD (past)
• Tri City Optometric, P.a.

  • Optometrist
  • Rutherfordton, NC
  • NPI 1003966789
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491523200000",
    "number": "1215038898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 VINTON WOODS DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446915309",
            "telephone_number": "704-300-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 DALBEY LANE",
            "address_2": "SUITE B",
            "city": "BERLIN",
            "state": "OH",
            "postal_code": "446100224",
            "telephone_number": "330-893-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMLOR",
        "first_name": "RANDY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D, M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2017-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Diane Miller, DC
• Dawn R. Miller, FNP-BC
• James M. Miller, O.D.
• Jon E. Miller, MD
• Debra Lyn Mullet, RPH
• Peak Physical Therapy & Wellness LLC
• Pomerene Express Care
• Premier Pharmacy Services Inc
• Sharon Riley, LPC
• Robert L. Miller, OD Inc.

• Optometrist in Berlin, OH
• Providers in Berlin, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.

Verify at the official NPI Registry.