Active NPI
Rachel Randolph
- Optometrist
- Venice, FL
National Provider Identifier
1215660220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC6127
- Practice address
- 1360 E Venice Ave
Venice, FL 34285-9066 - Phone
- (941) 488-2020
- NPI assigned
- Jul 7, 2022
- Last updated
- Jul 7, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC6127 | FL | Primary |
Addresses
Primary practice location
1360 E Venice Ave
Venice, FL 34285-9066
Mailing address
1360 E Venice Ave
Venice, FL 34285-9066
Phone (941) 488-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1360 E Venice Ave
Venice, FL 34285-9066
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 93.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC6127 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Sight, PL | Optometrist | Current | Accepting new patients |
Locations
1360 E Venice Ave
Venice, FL 34285
Interoperability endpoints
- rrandolph@useye.intellechartdirect.net
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": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1215660220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 E VENICE AVE",
"city": "VENICE",
"state": "FL",
"postal_code": "342859066",
"telephone_number": "941-488-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 E VENICE AVE",
"city": "VENICE",
"state": "FL",
"postal_code": "342859066",
"telephone_number": "941-488-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "RACHEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-07",
"last_updated": "2022-07-07",
"certification_date": "2022-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC6127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.