Richard N Randolph OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1308 Issued in NC

Legal business name

RICHARD N RANDOLPH OD PA

Doing business as

the Vision Center of Wilson

Practice address

2240 Nash St N
Wilson, NC 27896-1729

Phone

(252) 237-4179

Fax

(252) 237-4170

NPI assigned

Feb 10, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Richard N Randolph, ODNPI 1982681706

Title

President

Phone

(252) 237-4179

Specialties & licenses 1

Addresses

Other names 1

• the Vision Center of Wilson Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

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.

• Richard Nichols Randolph, O.D.

  • Optometrist
  • Wilson, NC
  • NPI 1982681706
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297296000000",
    "number": "1215233135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961729",
            "telephone_number": "252-237-4179",
            "fax_number": "252-237-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961729",
            "telephone_number": "252-237-4179",
            "fax_number": "252-237-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD N RANDOLPH OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-02-10",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-237-4179",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "the Vision Center of Wilson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rha Behavioral Health NC LLC
• Rha Health Services, Inc
• Cindy R Rhodes, MED, RD, LDN
• Tonya Rhodes
• Richard G. Langellotti, OD
• Donald Richards-Smith, LCSW, LCAS
• Betsy Richards, FNP
• Monissa Lynn Richards, PMHNP
• Kaitlin Marie Ricklefs, MS, LAT, ATC
• Jordan Riddle, PA-C

• Optometrist in Wilson, NC
• Providers in Wilson, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.