Active NPI
Jennifer Randle, OD
- Optometrist
- Scranton, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001721
- Practice address
- 200 Mifflin Ave
Scranton, PA 18503 - Phone
- (570) 342-3145
- Fax
- (570) 344-1309
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG001721 | PA | Primary |
Addresses
Primary practice location
200 Mifflin Ave
Scranton, PA 18503
Mailing address
200 Mifflin Ave
Scranton, PA 18503
Phone (570) 342-3145
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101631867 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 High Point Blvd
Bethlehem, PA 18017-7816
Phone (610) 867-9900
400 N 17TH St
Suite 101
Allentown, PA 18104-5052
Phone (610) 433-0450
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.68 of 100
- Quality
- 86.54
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 60.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Eye Center, P.C. | Optometrist | Current | Accepting new patients |
Locations
825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200
400 N 17th St
Ste 101
Allentown, PA 18104
Phone (215) 433-0450
3535 High Point Blvd
Ste 800
Bethlehem, PA 18017
Phone (610) 867-9900
Interoperability endpoints
- jennifer.randleod.p10@direct.ocli.nextgenshare.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263168000000",
"number": "1497857866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MIFFLIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18503",
"telephone_number": "570-342-3145",
"fax_number": "570-344-1309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MIFFLIN AVE",
"city": "SCRANTON",
"state": "PA",
"postal_code": "18503",
"telephone_number": "570-342-3145",
"fax_number": "570-344-1309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDLE",
"first_name": "JENNIFER",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2010-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101631867",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scranton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.