Randall Carl Paul, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

AZ549 Issued in AZ

Practice address

21001 N Tatum Blvd
Phoenix, AZ 85050-4206

Phone

(480) 513-4184

NPI assigned

Mar 5, 2007

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 AZ

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 California College of Optometry, 1983

Medicare assignment

May accept Medicare assignment

Group practices

Family First Vision Care Arizona PLLCGroup PAC ID 6204109648, 11 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Family First Vision Care Arizona PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1639875826
  Medicare reassignment Care Compare group NPD
• Family First Vision Care Arizona PLLC

  • Optometrist
  • Phoenix, AZ
  • NPI 1710417514
  NPD
• West Point Optical Group

  • Optometrist
  • Phoenix, AZ
  • NPI 1679005821
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376672303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15038 N 59TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542476",
            "telephone_number": "602-992-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21001 N TATUM BLVD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850504206",
            "telephone_number": "480-513-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "RANDALL",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "AZ549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Denise Paul, APN
• Myesha Paul
• Nevin John Paul
• Rachel Diann Paul, DNP, CRNA
• Rajan Lazar Paul
• Stacy L Paul, MA, LPC, LICAC
• Paula L Quinn, Bsrdh LLC
• Kara Paulachak, PHARMD
• Deborah Pauley, LPC
• Helen Paulin, O.D.

• Optometrist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.