Oxford University Eyecare PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

687 Issued in MS

Legal business name

OXFORD UNIVERSITY EYECARE PLLC

Practice address

2708 W Oxford Loop
110
Oxford, MS 38655-5714

Phone

(662) 213-3937

NPI assigned

Apr 9, 2015

Organization subpart

No

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

Authorized official

Name

Eric D Randle, O.D.NPI 1336247816

Title

Optometrist

Phone

(662) 213-3937

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Randle Optometric Services PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric Dale Randle, O. D.

  • Optometrist
  • Oxford, MS
  • NPI 1336247816
  Medicare reassignment NPD Authorized official
• Melanie Hatcher Randle, M.S., CCC-A

  • Audiologist
  • Oxford, MS
  • NPI 1467658138
  NPD
• Patricia E. Abbott, M.A. ED., CCC-SLP

  • Speech-Language Pathologist
  • Caruthersville, MO
  • NPI 1760828719
  NPD

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1376939975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 W OXFORD LOOP STE 110",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555724",
            "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 W OXFORD LOOP",
            "address_2": "110",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555714",
            "telephone_number": "662-213-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXFORD UNIVERSITY EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "RANDLE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "662-213-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MS",
            "license": "687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04600368",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02438061",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randle Optometric Services PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Randle Optometric Services PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinic/Center in Oxford, MS
• Providers in Oxford, MS by specialty
• Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.