Organization Active NPI

Randall B Cox Optometric Consultants PC

  • Optometrist
  • Grants, NM
National Provider Identifier
1336315498
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP2212 Issued in NM
Legal business name
RANDALL B COX OPTOMETRIC CONSULTANTS PC
Practice address
617 N 1St St
Grants, NM 87020-2703
Phone
(505) 287-9438
Fax
(505) 287-9439
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Randall B Cox, O.D.
Title
Doctor of Optometrist
Phone
(505) 287-9438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OP2212 NM Primary

Addresses

Primary practice location

617 N 1St St
Grants, NM 87020-2703

Mailing address

617 N 1St St
Grants, NM 87020-2703
Phone (505) 287-9438

Other identifiers 1

IdentifierTypeStateIssuer
OP2212OtherNMOPTOMETRY MEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1336315498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 N 1ST ST",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202703",
            "telephone_number": "505-287-9438",
            "fax_number": "505-287-9439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 N 1ST ST",
            "city": "GRANTS",
            "state": "NM",
            "postal_code": "870202703",
            "telephone_number": "505-287-9438",
            "fax_number": "505-287-9439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL B COX OPTOMETRIC CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRIST",
        "authorized_official_telephone_number": "505-287-9438",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NM",
            "license": "OP2212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY MEDICAL LICENSE",
            "identifier": "OP2212",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.