Randall Lee Edwards, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

466 Issued in SD

Practice address

501 Kansas City St
Rapid City, SD 57701-3673

Phone

(605) 348-2323

Fax

(605) 348-6694

NPI assigned

Jan 11, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467502518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 RIDGELAND LOOP",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577026128",
            "telephone_number": "605-399-9692",
            "fax_number": "605-348-6694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KANSAS CITY ST",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577013673",
            "telephone_number": "605-348-2323",
            "fax_number": "605-348-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "RANDALL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SD",
            "license": "466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9202713",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edgewood Rapid City LLC
• Edward J. Lynch, DDS, PC
• Brianne Edwards
• David P Edwards, CRNA
• Holly Edwards
• Kelsey Marie Egan
• Amber Rose Eggert, CHW
• Ehc Rapid City LLC (Exceptional Community Hospital Rapid City)
• Holly Ann Ehresmann, LMT
• Bradley Kenneth Eichhorn, MD

• Optometrist in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Optometrist in South Dakota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.