Individual provider Active NPI

Randy L Fuja, O.D.

  • Optometrist
  • Rock Springs, WY
National Provider Identifier
1215979976
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
WY214T Issued in WY
Practice address
2631Foothill Blvd
Suite a
Rock Springs, WY 82901-4770
Phone
(307) 362-4202
Fax
(307) 362-4332
NPI assigned
Jun 10, 2006
Last updated
Sep 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 WY214T WY Primary

Addresses

Primary practice location

2631Foothill Blvd
Suite a
Rock Springs, WY 82901-4770

Mailing address

2631Foothill Blvd
Suite a
Rock Springs, WY 82901-4591
Phone (307) 362-4202

Other identifiers 3

IdentifierTypeStateIssuer
410026623OtherUTRAILROAD MEDICARE
108096200MedicaidWY
410019956OtherWYRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20100914000164 WY Practitioner - Optometry 0143345272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2631 Foothill Blvd a
Rock Springs, WY 82901-4770
Phone (307) 362-4202

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WY214TWYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Institute PC Optometrist CurrentSince Jul 1, 2010 Accepting new patients

Locations

2631 Foothill Blvd
Ste A
Rock Springs, WY 82901
Phone (307) 362-4202

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1215979976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2631FOOTHILL BLVD",
            "address_2": "SUITE A",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014591",
            "telephone_number": "307-362-4202",
            "fax_number": "307-362-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2631FOOTHILL BLVD",
            "address_2": "SUITE A",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014770",
            "telephone_number": "307-362-4202",
            "fax_number": "307-362-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJA",
        "first_name": "RANDY",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "WY214T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410026623",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108096200",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410019956",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

Verify at the official NPI Registry.