Randal Minor Ocular Prosthetics Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

RANDAL MINOR OCULAR PROSTHETICS INC.

Practice address

17817 Gunn Hwy
Odessa, FL 33556-1967

Phone

(813) 949-2500

Fax

(813) 345-8488

NPI assigned

Nov 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Randal Eugene MinorNPI 1942227756

Title

President/Owner

Phone

(813) 949-2500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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.

• Randal Eugene Minor, CERTIFIED OCULARIST

  • Customized Equipment (DME)
  • Odessa, FL
  • NPI 1942227756
  NPD Authorized official

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1518147511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17817 GUNN HWY",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335561967",
            "telephone_number": "813-949-2500",
            "fax_number": "813-345-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17817 GUNN HWY",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335561967",
            "telephone_number": "813-949-2500",
            "fax_number": "813-345-8488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1628 Dale Mabry Hwy",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335483034",
            "country_code": "US",
            "telephone_number": "813-949-2500",
            "fax_number": "813-949-2500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RANDAL MINOR OCULAR PROSTHETICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MINOR",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "813-949-2500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Odessa, FL
• Providers in Odessa, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.