Luke A Randall, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODP-100164 Issued in ID

Practice address

1540 W Cayuse Creek Dr
Meridian, ID 83646-4795

Phone

(208) 258-6200

Fax

(208) 258-6204

NPI assigned

Jul 1, 2008

Sex

Male

Sole proprietor

Yes

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 ID

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

Ohio State University - College of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Luke a. Randall PLLCGroup PAC ID 2365623311, 2 clinicians

Practice addresses (Care Compare)

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.

• Luke a. Randall PLLC

  • Optometrist
  • Boise, ID
  • NPI 1184925737

  ID, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Ankle & Foot Medical Center PC

  • Foot & Ankle Surgery Podiatrist
  • Boise, ID
  • NPI 1093135634
  NPD
• Dan C Thieme OD PC

  • Optometrist
  • Payette, ID
  • NPI 1780790154
  NPD (past)
• Dan C. Thieme O.D., P.C

  • Optometrist
  • Meridian, ID
  • NPI 1700899911
  NPD (past)
• Eagle Vision One PLLC

  • Optometrist
  • Eagle, ID
  • NPI 1699845503
  NPD (past)

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394841600000",
    "number": "1376705293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 W CAYUSE CREEK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836464795",
            "telephone_number": "208-258-6200",
            "fax_number": "208-258-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 W CAYUSE CREEK DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836464795",
            "telephone_number": "208-258-6200",
            "fax_number": "208-258-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "LUKE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2014-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-100164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Ralph, NP
• Gina Ramirez
• William Clayton Ramos, DC
• Jeremy Rampton, MS
• Jessica L Ramsey, L.C.P.C.
• Courtney Marie Randazzo
• Aaron Jonathan Raney
• Mary Hannah Rankin, FNP
• Delisa Kay Rapp, LCSW
• Charles Michael Rasmussen, MD

• All providers in Meridian, ID
• Optometrist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2014; 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.