Eric Dale Randle, O. D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

687 Issued in MS

Practice address

2708 West Oxford Loop
Suite 110
Oxford, MS 38655

Phone

(662) 380-5041

Fax

(662) 380-5042

NPI assigned

Sep 20, 2006

Last updated

Feb 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MS

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

University of Houston - College of Optometry, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oxford University Eyecare PLLC

  • Clinic/Center
  • Oxford, MS
  • NPI 1376939975
  Medicare reassignment NPD Authorized official
• Rayner Optical, LLC

  • Durable Medical Equipment & Medical Supplies
  • Oxford, MS
  • NPI 1306957709
  NPD (past)
• Steve Edwards

  • Optometrist
  • Water Valley, MS
  • NPI 1679762207
  NPD (past)
• Tallahatchie Eyecare, PLLC

  • Optometrist
  • Charleston, MS
  • NPI 1164670329
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1336247816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 WEST OXFORD LOOP",
            "address_2": "SUITE 110",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-380-5041",
            "fax_number": "662-380-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 WEST OXFORD LOOP",
            "address_2": "SUITE 110",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-380-5041",
            "fax_number": "662-380-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDLE",
        "first_name": "ERIC",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "O. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "687P-Y",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "406165",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880214",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004600368",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Raif
• Selena K Rainer, BSW
• Zeina Ramadan, MSC
• Milauna Ramsey, B.A.
• Nicholas Ganes Ramsey
• Melanie Hatcher Randle, M.S., CCC-A
• Mariana S. Rangel, M.ED.
• Keelie Rankin
• Vishakha W Rawool, PHD CCC-A
• Abigail Ray, LPC, NCC, BC-TMH

• Optometrist in Oxford, MS
• Providers in Oxford, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.