Randall Bumsted, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG-000915 Issued in PA

Practice address

736 Baltimore Pike
Concord Commons, Suite 8
Glen Mills, PA 19342

Phone

(610) 459-0404

Fax

(610) 459-0405

NPI assigned

Jan 17, 2006

Last updated

Jun 19, 2018By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, DE2 enrollments

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 2

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Simon Eye Associates PAGroup PAC ID 4082684089, 35 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Simon Eye Associates PA

  • Optometrist
  • Wilmington, DE
  • NPI 1205871506

  PA

  Medicare reassignment Care Compare group NPD
• Pov LLC

  • Optometrist
  • Glen Mills, PA
  • NPI 1356990790
  Authorized official Same address or phone
• Eye Associates of Bucks County

  • Ophthalmology Physician
  • Langhorne, PA
  • NPI 1609926658
  NPD (past)
• Millis Eye Associates, LLC

  • Optometrist
  • Wyncote, PA
  • NPI 1144364589
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1598745689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 BALTIMORE PIKE",
            "address_2": "CONCORD COMMONS, SUITE 8",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421040",
            "telephone_number": "610-459-0404",
            "fax_number": "610-459-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 BALTIMORE PIKE",
            "address_2": "CONCORD COMMONS, SUITE 8",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "19342",
            "telephone_number": "610-459-0404",
            "fax_number": "610-459-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUMSTED",
        "first_name": "RANDALL",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG-000915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00335886",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Mary Brooks, DO
• Andrew Brough
• William Matthew Brown
• Sarah M Bruno, O.D.
• McKeon Buffamonte, DC
• Michael Buscaglia
• Sandra Bwint, OD
• C N P RX LLC (Concord Pharmacy)
• Lixi Cacho, ABOC
• James Calderone, RPH

• Optometrist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.