Brian Randolph, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618003022 Issued in VA

Practice address

3930 Pender Dr Ste 10
Fairfax, VA 22030-0986

Phone

(703) 273-2398

NPI assigned

Jun 5, 2021

Sex

Male

Sole proprietor

No

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 DC

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

Specialty

Optometry

Education

Southern College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dressler Ophthalmology Assoc PLCGroup PAC ID 0345143517, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.09 of 100Reported as group

Quality

100

Improvement activities

40

Cost

76.97

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Dressler Ophthalmology Assoc PLC

  • Ophthalmology Physician
  • Fairfax, VA
  • NPI 1679540843

  DC

  Medicare reassignment Care Compare group NPD
• Optimum Optical LLC

  • Optician
  • Fairfax, VA
  • NPI 1588772024
  NPD (past)

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1326615717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2784 MARSHALL LAKE DR",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221241148",
            "telephone_number": "703-606-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR STE 10",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300986",
            "telephone_number": "703-273-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDOLPH",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-05",
        "last_updated": "2021-06-05",
        "certification_date": "2021-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricky L Ramsey, M.D.
• Richard Craig Ranard, M.D.
• Aimee Rand
• Leslie M Randall, MD
• Andrea Randolph
• Donna A Randolph, MD
• Tamby Norohanitra Randrianantenaina
• Umadevi Rangarajan, M.D.
• Chethana Rao, MD
• Surabhi Rao, OT

• Optometrist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.